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Pediatr Infect Dis J. 2016 Oct;35(10):1154-6. doi: 10.1097/INF.0000000000001251.

Tuberculosis Cervical Adenitis: Management Dilemmas.

The Pediatric infectious disease journal

Andrea T Cruz, J Alberto Hernandez

Affiliations

  1. From the *Sections of Infectious Diseases and Emergency Medicine, Department of Pediatrics, and †The Department of Interventional Radiology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.

PMID: 27273690 DOI: 10.1097/INF.0000000000001251

Abstract

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.

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