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Atypical mycobacterial cervical lymphadenitis with extensive local spread: a surgical disease |
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| Authors: | M. Hogan D. Price K. Burrage C. Pushpanathan |
| Affiliation: | (1) Discipline of Surgery, Faculty of Medicine, The Health Sciences Center, Memorial University of Newfoundland, St. John’s, NF, A1B 3V6, Canada;(2) Division of Pediatric Surgery, Faculty of Medicine, The Health Sciences Center, Memorial University of Newfoundland, St. John’s, NF, A1B 3V6, Canada;(3) Division of Otolaryngology, Faculty of Medicine, The Health Sciences Center, Memorial University of Newfoundland, St. John’s, NF, A1B 3V6, Canada;(4) Discipline of Pathology, Faculty of Medicine, The Health Sciences Center, Memorial University of Newfoundland, St. John’s, NF, A1B 3V6, Canada |
| Abstract: | Atypical (nontuberculous) mycobacterium is an uncommon cause of cervical lymphadenitis in immunocompetent children. Rarely, this disease progresses to locoregional destruction of the deep structures of the neck including salivary glands. Recent reports suggest medical monotherapy as an effective treatment of this disease. We report three cases of children who experienced progression to locoregional disease while on appropriate antibiotics. We suggest that the patient population to benefit from medical monotherapy has yet to be adequately defined. In our experience, surgical therapy is the only effective treatment for locoregional disease. |
| Keywords: | Atypical mycobacterium Cervical lymphadenitis |
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