TY - JOUR
T1 - Surgical treatment of non-tuberculous mycobacterial lymphadenitis in children
T2 - Our experience and a narrative review
AU - Torretta, Sara
AU - Gaffuri, Michele
AU - Ibba, Tullio
AU - Capaccio, Pasquale
AU - Marchisio, Paola
AU - Maruca, Antonella
AU - Bosis, Samantha
AU - Pignataro, Lorenzo
PY - 2018/1/1
Y1 - 2018/1/1
N2 - Non-tuberculous mycobacterial lymphadenitis (NTML) accounts for about 95% of the cases of head-and-neck mycobacterial lymphadenitis, and its prevalence has been increasing in the Western world. The diagnostic work-up can be challenging, and differential diagnoses such as tuberculous and suppurative lymphadenitis need to be considered. It may, therefore, not be diagnosed until the disease is in a late stage, by which time it becomes locally destructive and is characterized by a chronically discharging sinus. The treatment options include a medical approach, a wait-and-see policy, and surgery, with the last being considered the treatment of choice despite the high risk of iatrogenic nerve lesions. The aim of this article is to provide an overview of pediatric, head-and-neck NTML based on the literature and our own experience, with particular emphasis on the impact and limitations of surgery.
AB - Non-tuberculous mycobacterial lymphadenitis (NTML) accounts for about 95% of the cases of head-and-neck mycobacterial lymphadenitis, and its prevalence has been increasing in the Western world. The diagnostic work-up can be challenging, and differential diagnoses such as tuberculous and suppurative lymphadenitis need to be considered. It may, therefore, not be diagnosed until the disease is in a late stage, by which time it becomes locally destructive and is characterized by a chronically discharging sinus. The treatment options include a medical approach, a wait-and-see policy, and surgery, with the last being considered the treatment of choice despite the high risk of iatrogenic nerve lesions. The aim of this article is to provide an overview of pediatric, head-and-neck NTML based on the literature and our own experience, with particular emphasis on the impact and limitations of surgery.
KW - children
KW - head and neck
KW - lymphadenitis
KW - non-tuberculous mycobacteria
UR - http://www.scopus.com/inward/record.url?scp=85055609870&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85055609870&partnerID=8YFLogxK
U2 - 10.1177/2058738418806413
DO - 10.1177/2058738418806413
M3 - Article
C2 - 30354841
AN - SCOPUS:85055609870
VL - 32
JO - International Journal of Immunopathology and Pharmacology
JF - International Journal of Immunopathology and Pharmacology
SN - 0394-6320
M1 - 2058738418806413
ER -