Evaluation of the Role of Fnac in Diagnosis of Tubercular Lympadenitis in Rural Setup in India
Journal Title: International Journal Of Medical Science And Clinical Invention - Year 2017, Vol 4, Issue 6
Abstract
Background: Tuberculous Lymphadenitis is one of the most common causes of lymph node enlargement in developing countries like India. However, anti-tubercular treatment cannot be given only on clinical suspicion. FNAC with special staining like AFB/ ZN staining proves to be an important , rapid and efficient diagnostic tool in diagnosing Tuberculous Lymphadenitis. Aim: To study the utility of FNAC with Ziehl-Neelsen staining in diagnosis of tuberculous lymphadenitis. Material and Methods: In a study period of one year, two hundred consecutive superficial lymph nodes, clinically suspected to be tuberculous were subjected to cytological evaluation with Hematoxylin & Eosin, Giemsa and Ziehl-Neelsen stained smears. Results: Incidence of tuberculous lymphadenitis was 66%. Overall AFB positivity was 74.0%. Only Necrosis without epithelioid cell granulomas was the most common cytological picture and that showed highest AFB positivity also. 80% of the patients presented in second to fourth decade of life. Cervical region was the most common site of involvement with matted lymph nodes as the most common presentation in tubercular lymphadenitis. Conclusions: Fine needle aspiration cytology is a reliable, safe and economical procedure requiring minimal intervention and is highly sensitive to diagnose tuberculous lymphadenitis. The sensitivity can be further increased by complementing cytomorphology with acid fast staining. In acid fast staining negative cases, yield of acid fast bacilli positivity can be increased by doing Ziehl-Neelsen staining on second smear or decolourized smear revealing necrosis or by repeat aspiration.
Authors and Affiliations
Sharma S, Rana R
Keywords
Related Articles
- EP ID EP313234
- DOI -
- Views 78
- Downloads 0
Sensitivity of microorganisms isolated from diabetic sores to antibiotics
Introduction: One of the complications of diabetes mellitus (DM) is peripheral neuropathy which among other effects causes loss of coordination of muscle groups in the foot, formation of callus which separates and an unc...
Co relation of areaca nut / betal nut, tobacco and alcohol consumption with OSMF – a case control study
BACKGROUND: Oral submucous fibrosis (OSMF) is a chronic, progressive, scaring high risk precancerous condition of the oral mucosa seen primarily in the Indian subcontinent and in South East Asia. The exact etiology of OS...
A study on meibomian gland disorders and lipid levels in north Indian population
To study meibomian gland disorders (MGD) and lipid levels in north Indian population. Methods: This was a cross-sectional study. A total of 100 clinically diagnosed cases of MGD were included in the study. A detailed his...
Morbidly Adherent Placenta-A Recently Emerging Menace
Introduction: Placenta accreta once a rare occurrence is now becoming anincreasingly common complication of pregnancy mainly due to increasing rate of caesarean deliveries. Aims and Objectives: To determine the incidence...
Fahr’s Syndrome: Rare Cause Of Parkinsonism- A Case Report
A 63 years old male presented with progressive decline of motor functions and characteristic resting ‘pill rolling’ tremor of bilateral upper limbs. CT scan brain showed diffuse cerebral atrophy with bilateral cerebellar...