Incidence of tuberculosis in enlarged neck nodes, our experience

• DOI: 10.3126/kumj.v7i1.1766
• Publication Date: 2009-04-17T15:55:07Z
• Authors: M Maharjan; S Hirachan; PK Kafle; M Bista; S Shrestha; KC Toran; M Lakhey
• Keywords: Tuberculous lymphadenitis; Cervical lymphadenopathy; Erythrocyte sedimentation rate; Throat; Neck mass

To determine the incidence of tuberculous lymphadenitis in enlarged neck nodes.Continuous prospective study is carried out department otorhinolaryngology head & surgery, Kathmandu Medical College, Kathmandu, during two years, from January 2006 to 2008. The included a group 155 patients with cervical lymphadenopathy. Each patient underwent detail clinical Ear, Nose and Throat (ENT) examination battery investigations which Fine Needle Aspiration Cytology (FNAC) nodes, Montoux's test, blood Erythrocyte Sedimentation Rate (ESR) chest X-ray. Those tubercular were referred Directly Observed Therapy System (DOTS) clinic for anti-tubercular therapy. Others reactive treated antibiotic those metastatic nodes accordingly.Of cases 83 (54%) had lymphadenitis. Fifty (33%) 17 (11%) diagnosed nodes. needle aspiration cytology was found be highly effective diagnosis 94% accuracy. Majority otherwise healthy adults, aged between 8 - 71 years. No difference observed male female this study. Posterior triangle (PT) most commonly affected accounting 35 (42%) preauricular region 1 (1%) case being least site. Fifteen (18%) presented abscess formation. Only 42 (50%) family history tuberculosis but (9%) previous various forms tuberculosis. Twelve (14%) positive X-ray findings suggesting concurrent pulmonary All DOTS category (CAT) III anti therapy (ATT). CAT I regime. None required surgical treatment.There high developing countries like Nepal. Involvement lymphnodes are Therefore, it important that otolaryngologists aware region.