An updated view on tuberculous Iymphadenitis in the context of HIV epidemic as well as multidrug and extensively drug-resistant tuberculosis
Journal Title: Otolaryngologia Polska - Year 2012, Vol 66, Issue 3
Abstract
SUMMARY Background: An updated view on tuberculous lymphadenitis was presented in this paper. Objectives: This article describes tuberculous Iymphadenitis as the most common presentation of extrapulmonary tuberculosis and reviews its epidemiology, clinical aspects, diagnosis and treatment methods. The role of surgical procedures was also underlined. Material and Methods: Since the 1990's, the incidence and severity of tuberculosis — particularly the prevalence of extrapulmonary tuberculosis — are increasing internationally, mainly due to the HIV epidemic and the emergence of multidrug-resistant and extensively drug-resistant strains. Hence, tuberculosis is once again a serious global problem not only in the developing countries of Africa or South East Asia, but also in highly-developed communities. Conclusions: The latest data suggest that tuberculosis should be included in the list of differential diagnoses for all neck lymph node involvements, even in the absence of pulmonary involvement, in HIV-positive patients. If the otolaryngologist maintains a high index of suspicion, an early diagnosis can be made to contribute to more successful outcome of the disease.
Authors and Affiliations
Katarzyna Mrówka-Kata, Grzegorz Namysłowski, Eugeniusz Czecior, Paweł Sowa, Jadwiga Iwańska
Keywords
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