TUBERCULOUS LYMPHADENITIS? A RETROSPECTIVE AND PROSPECTIVE STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 52
Abstract
BACKGROUND Tuberculous lymphadenitis is the commonest cause of lymphadenopathy in developing countries. This study was conducted to analyse the clinical presentation, complications and recurrences in patients presenting with tuberculous lymphadenitis. MATERIALS AND METHODS This descriptive study is based on the observation of two groups of patients: a retrospective and prospective group of patients attending the outpatient department and the patients admitted in Christian Medical College & Hospital, Ludhiana. The retrospective group included all patients over 12 years of age who had presented with lymphadenopathy and were diagnosed as tuberculous lymphadenitis and their medical records reviewed. The prospective group were clinically examined, haematological and histopathological investigations were carried out. They were followed up for assessment of complications. RESULTS A total number of 171 cases were qualified to be included in this study. Patients with matted lymph nodes constituted 53.8% and discrete lymph nodes constituted 46.2%. Lymph nodes with a firm consistency constituted a significant proportion of 74.9% compared with lymph nodes with soft and hard consistencies constituting 20.5% and 4.7% respectively. Cervical node involvement was there in 70.7% of patients. The mean lymph node size was 6.9 cm with a variation between 0.5-20 cm. Nearly 38% of them had positive reaction for PPD. Chest X-ray findings were normal in 57.9% of patients. Nearly 50% of patients had fever as the chief complaint. CONCLUSION There was a significant preponderance to cervical lymph node involvement. The consistency of lymph nodes was firm in a majority of cases. BCG vaccination was not protective against tuberculous lymphadenitis. Clinical presentations were diverse and the clinical diagnosis was difficult to establish.
Authors and Affiliations
Rajesh Daniel, Levi Mark, Mohan Verghese, Jasbir Dhanoa, Jeyakumar Jeyakumar, Mustafa M, Paneerselvam Paneerselvam
Keywords
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- EP ID EP220194
- DOI 10.14260/Jemds/2017/854
- Views 65
- Downloads 0
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