Pediatr Infect Dis J. 2016 Oct;35(10):1154-6. doi: 10.1097/INF.0000000000001251.
The Pediatric infectious disease journal
Andrea T Cruz, J Alberto Hernandez
PMID: 27273690 DOI: 10.1097/INF.0000000000001251
Peripheral lymphadenopathy (scrofula) is the second most common site for childhood tuberculosis. Paradoxical reactions are commonly seen even in immunocompetent children after therapy is initiated, and this can lead to draining sinus tracts. We describe a multimodal therapeutic option of antituberculosis therapy, corticosteroids and therapeutic ultrasound-guided nodal aspiration in an adolescent with massive cervical adenopathy.