Nielsen V R, Paerregaard A, Fuursted K
Hvidovre Hospital, børneafdelingen.
Ugeskr Laeger. 1996 Oct 21;158(43):6094-7.
We reviewed case records of 22 children who were diagnosed as having nontuberculous mycobacterial infection. All children were previously healthy. In 20 cases the infection presented as cervical lymphadenitis. The patients were between ten months and 14 years old, and two thirds were between 13 and 36 months old. The majority (74%) were girls. Mycobacterium avium/intracellulare was isolated most frequently (55%). The report describes the diagnosis and treatment of childhood mycobacterial cervical adenopathy. All patients except one were treated surgically. We found considerable differences in both preoperative and operative management. When excision of the lymph node (as opposed to needle biopsy) was performed, diagnosis could be made earlier and repeated surgical procedures could be avoided.
我们回顾了22例被诊断为非结核分枝杆菌感染的儿童病例记录。所有儿童此前均健康。20例感染表现为颈部淋巴结炎。患者年龄在10个月至14岁之间,三分之二在13至36个月之间。大多数(74%)为女孩。鸟分枝杆菌/胞内分枝杆菌分离最为常见(55%)。本报告描述了儿童分枝杆菌性颈部腺病的诊断和治疗。除1例患者外,所有患者均接受了手术治疗。我们发现在术前和手术管理方面存在相当大的差异。当进行淋巴结切除(而非针吸活检)时,可以更早做出诊断并避免重复手术。