Asymptomatic Isolated Cervical Tubercular Lymphadenopathy, How to Proceed?: A Case Series

Asymptomatic Isolated Cervical Tubercular Lymphadenopathy

  • Ravi Singh Dogra General Surgeon, Department of Surgery, Civil Hospital Ghumarwin, Bilaspur, Himachal Pradesh, India
  • Arjun Singh Anesthesiologist, Department of Anesthesia, Civil Hospital Sundarnagar, Mandi, Himachal Pradesh, India
  • Vinay Bhardwaj Physician, Department of Medicine, Civil Hospital Ghumarwin, Bilaspur, Himachal Pradesh, India https://orcid.org/0000-0002-3474-4441
  • Poonam Junior Resident, Department of Anesthesia, Dr. R.P. Govt. Medical College, Tanda, Himachal Pradesh, India
  • Srijan Pandey Junior Resident, Department of Surgery, Dr. R.P. Govt. Medical College, Tanda, Himachal Pradesh, India https://orcid.org/0000-0002-3663-238X
  • Gunjan Modgil Junior Resident, Department of Surgery, Dr. R.P. Govt. Medical College, Tanda, Himachal Pradesh, India
  • Arpit Goel Junior Resident, Department of Surgery, Dr. R.P. Govt. Medical College, Tanda, Himachal Pradesh, India https://orcid.org/0000-0001-6150-6900
Keywords: Extra-pulmonary tuberculosis, Tubercular Cervical Lymphadenitis, FNAC, ZN stain, CBNAAT

Abstract

Tuberculosis is a highly prevalent disease in developing countries, the majority of cases are pulmonary and rest are extra-pulmonary. Cervical LN tuberculosis is one of the most common types of extra-pulmonary tuberculosis. Isolated cervical tubercular Lymphadenitis without accompanying pulmonary tuberculosis or another form of tuberculosis in the body is rare and, when present, requires thorough clinical examination and investigation. In the investigation of such patients, FNAC plays a major role, and aspirate should be tested for AFB through ZN stain and CBNAAT (PCR). Cervical tubercular Lymphadenitis is mainly a disease of young with a female predominance. All patients of cervical tubercular Lymphadenitis must receive antitubercular therapy with strict follow up for compliance and possible side effects from treatment.

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References

Tadesse M, Abebe G, Abdissa K, Bekele A, Bezabih M, Apers L, et al. Concentration of Lymph Node Aspirate Improves the Sensitivity of Acid Fast Smear Microscopy for the Diagnosis of Tuberculous Lymphadenitis in Jimma, Southwest Ethiopia. PLoS One. 2014;9(9):e106726. Available from: https://dx.doi.org/10.1371/journal.pone.0106726.

Published
2020-07-06
How to Cite
Dogra, R. S., Singh, A., Bhardwaj, V., Poonam, Pandey, S., Modgil, G., & Goel, A. (2020). Asymptomatic Isolated Cervical Tubercular Lymphadenopathy, How to Proceed?: A Case Series. Asian Journal of Medical Research, 9(2), 1-5. https://doi.org/10.47009/ajmr.2020.9.2.SG1