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Article
December 1985

Cervical Mycobacterial Lymphadenitis: Medical vs Surgical Management

Author Affiliations

From the UCLA Medical Center (Drs Castro, Hoover, and Zuckerbraun), the Olive View Medical Center, Van Nuys, Calif (Drs Hoover and Zuckerbraun), and the California Paramedical and Technical College, Long Beach (Ms Castro).

Arch Otolaryngol. 1985;111(12):816-819. doi:10.1001/archotol.1985.00800140060011
Abstract

• After years in its decrease, cervical mycobacterial adenitis is once again an increasing problem in Los Angeles County. We reviewed 54 cases of cervical lymphadenopathies treated over ten years. Twenty-five (46%) of these patients were found to have mycobacterial cervical lymphadenitis. Medical approaches often failed to conclusively diagnose this disease. In our series, none of the patients with cervical adenopathies (36%) treated only medically regressed, even after an average time of 18 months of antituberculosis drug treatment. The treatment of choice seems to be surgical excision and long-term antituberculosis drugs. Surgery provides a rapid tissue diagnosis and confirms the bacterial type, including atypical mycobacterium. This approach is simple, shortens hospitalization, is cost-effective, and carries a low morbidity.

(Arch Otolaryngol 1985;111:816-819)

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