Necrotizing tuberculoid granulomatous lymphadenitis in a pediatric patient: Case report
DOI:
https://doi.org/10.33448/rsd-v10i13.19213Keywords:
Tuberculous lymphadenitis; Lymphadenopathy; Tuberculosis of the lymph nodes; Tuberculosis.Abstract
Cervical lymphadenopathy is a frequent problem in pediatric patients and in many cases represents a transient reaction to locoregional or systemic inflammatory or infectious processes, considered the most common cause of peripheral lymphadenopathy in the cervical region. Biopsy associated with histopathological analysis is considered the gold standard for the diagnosis of cervical lymphadenopathy. Fine needle puncture (FNAB) has been used as the first line of investigation in the diagnosis of edema in the head and neck, as it is simple, economical and less invasive than incisional biopsy. This study was carried out through a search of scientific articles in the electronic database, PubMed, using the descriptors: Lymphadenitis; Tuberculosis, Lymph Node; Histiocytic Necrotizing Lymphadenitis, indexed dealing with clinical case reports and literature review. In addition to the review, a case report of a pediatric patient treated at the emergency department by the Oral and Maxillofacial Surgery and Traumatology was presented. tuberculoid necrotizing agent, for discussion on diagnostic and treatment approaches.
References
Cataño, J. C., & Robledo, J. (2016). Linfadenite tuberculosa e parotidite. Espectro de microbiologia, 4 (6), 10.1128/microbiolspec.TNMI7-0008-2016.
Deveci, H. S., Kule, M., Kule, Z. A., & Habesoglu, T. E. (2016). Diagnostic challenges in cervical tuberculous lymphadenitis: A review. Northern clinics of Istanbul, 3(2), 150–155.
Fantahun, M., Kebede, A., Yenew, B., Gemechu, T., Mamuye, Y., Tadesse, M., Brhane, B., Jibriel, A., Solomon, D., & Yaregal, Z. (2019). Diagnostic accuracy of Xpert MTB/RIF assay and non-molecular methods for the diagnosis of tuberculosis lymphadenitis. PloS one, 14(9), e0222402.
Gautam, H., Agrawal, S. K, Verma, S. K., & Singh, U. B. (2018). Linfadenite tuberculosa cervical: perfil clínico e modalidades diagnósticas. International journal of mycobacteriology, 7 (3), 212–216.
Gehrke, T., Hackenberg, S., Tecle, N., Hagen, R., & Scherzad, A. (2021). Tuberculose na cabeça e pescoço: tendências em mudança e padrões relacionados à idade. O laringoscópio, 10.1002 / lary.29668.
Karleen, C., & Saniasiaya, J. (2021). Cervical tuberculous lymphadenitis. BMJ case reports, 14(5), e241807.
James, R., Avudaiappan, S., Professor Assistente, A., Natarajan, K., & Chandrasekaran, S. (2016). Tuberculose multifocal. The Journal of the Association of Physicians of India, 64 (9), 83–84.
Lekhbal, A., Chaker, K., Halily, S., Abada, R. L., Rouadi, S., Roubal, M., & Mahtar, M. (2020). Treatment of cervical lymph node tuberculosis: When surgery should be performed? A retrospective cohort study. Annals of medicine and surgery (2012), 55, 159–163.
Medhe, A. S., Mandale, S. S., Deshpande, P. U., & Bhavthankar, J. D. (2018). Bilateral submandibular swelling diagnosed as tuberculous lymphadenitis in an asymptomatic patient: A rare case report. Indian journal of pathology & microbiology, 61(4), 570–572.
Mekonnen D, Derbie A, Abeje A, Shumet A, Nibret E, Biadglegne F, et al. (2019) Epidemiologia da linfadenite tuberculosa na África: Uma revisão sistemática e meta-análise. PLoS ONE, 14 (4): e0215647.
Moualed, D., Robinson, M., Qureishi, A., & Gurr, P. (2018). Cervical tuberculous lymphadenitis: diagnosis and demographics, a five-year case series in the UK. Annals of the Royal College of Surgeons of England, 100(5), 392–396.
Oh, K. H, Woo, J. S, Cho, J. G, Baek, S. .K, Jung, K Y, & Kwon, S. Y (2016). Eficácia da biópsia com agulha grossa guiada por ultrassom no diagnóstico de linfadenopatia cervical. European Annals of Otorhinolaryngology, Head and Neck Diseases, 133 (6), 401-404.
Pacifique, M., Alcala, C., & Bryant, S. M. (2018). Cervical Tuberculous Lymphadenitis. The Journal of emergency medicine, 54(6), e141–e142.
Pilaca, A., Argjiri, D., Koshovari, I., & Vyshka, G. (2020). A suppurated, fistulized lymphadenitis in the neck: The untamed tuberculosis. Clinical case reports, 8(12), 3654–3655.
Rai, D. K., Kumar, R., & Ahmad, S. (2020). Clinical characteristics and treatment outcome in Tubercular lymphadenitis patients- A prospective observational study. The Indian journal of tuberculosis, 67(4), 528–533.
Rammeh, S., Romdhane, E., Arfaoui Toumi, A., Houcine, Y., Lahiani, R., Sassi, A., Mardassi, H., Ben Salah, M., & Ferjaoui, M. (2018). Eficácia da Citologia de Aspiração com Agulha Fina no Diagnóstico da Linfadenite Cervical Tuberculosa. Acta cytologica, 62 (2), 99-103.
Salvador, F., Los-Arcos, I., Sánchez-Montalvá, A., Tórtola, T., Curran, A., Villar, A., Saborit, N., Castellví, J., & Molina, I. (2015). Epidemiology and diagnosis of tuberculous lymphadenitis in a tuberculosis low-burden country. Medicine, 94(4), e509.
Sattar, A., Shamim, S. H, Wahab, S., & Javed, A. (2016). Perfil de rendimento e segurança da citologia de aspiração com agulha fina guiada por ultrassom (FNAC) de linfonodos. Journal of the College of Physicians and Surgeons - Pakistan: JCPSP, 26 (5), 357-360.
Sellami, M., Charfi, S., Chaabouni, M. A, Mrabet, S., Charfeddine, I., Ayadi, L., Kallel, S., & Ghorbel, A. (2019). Citologia não aspirativa com agulha fina para o diagnóstico da tuberculose linfonodal cervical: uma experiência em um único centro. Revista Brasileira de Otorrinolaringologia, 85 (5), 617-622.
Yang, J.- sun, & Du, Z.- xiang. (2019). Comparação das características clínicas e patológicas da tuberculose linfonodal e linfadenite necrotizante histiocítica. The Journal of Infection in Developing countries, 13 (08), 706-713.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Jéssica da Silva Cunha; Ana Paula Veras Sobral; Franscico Alves de Souza Júnior; Marina Rosa Barbosa; Ana Beatriz Leme de Andrade; Masxuel Bezerra da Silva; Demóstenes Alves Diniz; Fernando Antonio Cardoso Maciel; Lucas Emmanuell de Morais Neves
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.