Tuberculose lymphonodale cervicale : prise en charge diagnostique et thérapeutique |
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| Authors: | R Zaatar A Biet A Smail V Strunski C Page |
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| Institution: | 1. Service d’ORL et de chirurgie cervicofaciale, hôpital Nord, CHU d’Amiens, place Victor-Pauchet, 80054 Amiens cedex 1, France;2. Service de médecine interne, hôpital Nord, CHU d’Amiens, place Victor-Pauchet, 80054 Amiens cedex 1, France;1. Service de médecine nucléaire, hôpital Lariboisière, AP–HP, 2, rue Ambroise-Paré, 75010 Paris, France;2. Service de cytologie et d’anatomie pathologique, hôpital Lariboisière, AP–HP, 2, rue Ambroise-Paré, 75010 Paris, France;3. Service de génétique, hôpital européen Georges-Pompidou, AP–HP, 20, rue Leblanc, 75015 Paris, France;4. Service de radiologie, hôpital Lariboisière, AP–HP, 2, rue Ambroise-Paré, 75010 Paris, France;5. Service d’oto-rhino-laryngologie, hôpital Lariboisière, AP–HP, 2, rue Ambroise-Paré, 75010 Paris, France;6. Université Paris Diderot Paris-7, 75205 Paris cedex 13, France;7. 2, rue Saint-Petersbourg, 75008 Paris, France;1. Department of Infectious Diseases, Centre of Tropical Medicine and Travel Medicine, Academic Medical Centre, University of Amsterdam, Amsterdam, the Netherlands;2. CERMEL, Lambaréné, Gabon;3. Department of Medicine, Hôpital Albert Schweitzer, Lambaréné, Gabon;4. Institute of Tropical Medicine, University of Tübingen, Tübingen, Germany |
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| Abstract: | ObjectivesThe purpose of this study was to evaluate the advantages of surgery for diagnosis and treatment of cervical lymph node tuberculosis.Material and methodsThis was a retrospective study from 1st January 1998 to 31st December 2007 including 30 patients with cervical lymph node tuberculosis. The population included 60% autochthones with a mean age of 47.1 years and a female predominance (73.33%).ResultsThe lymph nodes were most often supraclavicular, unilateral, firm, and a mean 3 cm at its largest span. Lymph nodes were excised for diagnosis in 22 patients, which demonstrated specific granulomatous and giant cell lesions with caseous necrosis in 21 patients out of 22. Five abscessed adenopathies required surgical drainage, and three cases required repeated lymph node cleaning after well-conducted medical treatment.ConclusionSurgery retains an important place in the diagnosis and treatment of cervical lymph node tuberculosis. |
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