Tuberculous Lymphadenopathy |
Sang-Won Park |
Division of Infectious Diseases, Department of Internal Medicine, Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea |
림프절 결핵 |
박상원 |
서울대학교 의과대학 보라매병원 감염내과 |
Correspondence:
Sang-Won Park, Tel: +82-2-870-2224, Fax: +82-2-870-3863, Email: hswon1@snu.ac.kr |
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This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
Abstract |
Cervical tuberculous lymphadenopathy is a common form of extrapulmonary tuberculosis (TB). Fine-needle aspiration is the first step in lymph node evaluation; excisional biopsy is an alternative tool. TB culture and drug sensitivity testing must feature in any initial evaluation. A 6-month short course of a four-drug combination of anti-TB medications is standard. Paradoxical aggravation of lymphadenopathy during and after treatment poses a diagnostic challenge. Although the condition usually resolves spontaneously, microbiological considerations are appropriate and an alternative diagnosis should be contemplated. |
Key Words:
Tuberculosis; Lymphadenopathy; Fine-needle aspiration; Diagnosis |
주제어:
폐외 결핵; 림프절 결핵; 세침흡인 검사; 진단 |