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Tuberculous Lymphadenitis: History Pathogenesis
Tuberculous Lymphadenitis: History Pathogenesis
Tuberculous Lymphadenitis: History Pathogenesis
Tuberculous Lymphadenitis
Prasanta Raghab Mohapatra, Ashok Kumar Janmeja
Abstract
Lymphadenitis is the most common extrapulmonary manifestation of tuberculosis. It remains both diagnostic
and therapeutic challenge because it mimics other pathologic processes and yields inconsistent physical and
laboratory findings. Diagnosis is difficult often requiring biopsy. A thorough history and physical examination,
staining for acid-fast bacilli, fine-needle aspiration and PCR are helpful in obtaining an early diagnosis. It is
also important to differentiate tuberculous from nontuberculous mycobacterial cervical lymphadenitis because
their treatment protocols vary. Treatment monitoring is more complex due to peculiar behavior of TB lymph
nodes. Situation has become worse due to sharp increase in the incidence of atypical mycobacteria, poorly
controlled HIV epidemic and rise of drug-resistant TB lymphadenitis. Tuberculous adenitis is best treated as
a systemic disease with antituberculosis medication. Surgical therapy along with antituberculosis medication
can be beneficial in selected patients.
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Announcement
5th East Zone Rheumatology Conference and 3rd Biannual Conference
The 5th East Zone Rheumatology Conference and 3rd Biannual Conference, IRA- Assam chapter will be held at
Guwahati on12th & 13th September, 2009. It will be organized by Indian Rheumatology Association, Assam Chapter.
For details contact: Organizing Secretary, Dr. Pradip Kumar Sarma, MD (Medicine), DM (Clinical Immunology),
Guwahati, Assam, Mobile: 9707023625
Announcement
ISECON 2010
Indian Society of Electrocardiology is organizing its Annual Conference - ISECON 2010 on
19th - 21st February, 2010 at Hotel Renaissance, Mumbai
For further details please contact : Dr. S.B. Gupta, Hon. Secretary, ISE, Head, Department of Medicine and Cardiology,
Central Railway Headquarters Hospital, Byculla, Mumbai 400 027. Tel.: 23732911 (Hospital), 22624556 (Residence),
22651044 (Fax) • Mobile : 09821364565 / 09987645403 • e-mail: sbgupta@vsnl.net • website: www.iseindia.org
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