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Korean J Med. 2015;88(3):262-266. Published online March 1, 2015.
DOI: https://doi.org/10.3904/kjm.2015.88.3.262
림프절 결핵
박상원
서울대학교 의과대학 보라매병원 감염내과
Tuberculous Lymphadenopathy
Sang-Won Park
Division of Infectious Diseases, Department of Internal Medicine, Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea
Corresponding author: Sang-Won Park ,Tel: +82-2-870-2224, Fax: +82-2-870-3863, Email: hswon1@snu.ac.kr


߽ɾ :폐외 결핵; 림프절 결핵; 세침흡인 검사; 진단
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.

Keywords :Tuberculosis, Lymphadenopathy, Fine-needle aspiration, Diagnosis
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