(This video clip shows a 27 year old patient who had been successfullyÂ treated for TB of Neck-Cervical Lympadenitis and attend the clinic for follow up after completion of Poly chemotherapy for 9 months).
About TB of Neck:
Tuberculosis of neck is common extrapulmonary presentation. In ENT practice the TB of cervical lymph nodes,larynx,middle ear and mastoid, tonsil and oral cavity, nose and nasopharynx are seen at times.
Pulmonary tuberculosis is the most common type of tuberculosis accounting for approximately 80% of the tuberculosis cases. Tuberculosis of the ENT region is one of the rarer forms of extrapulmonary tuberculosis but still poses a significant clinical and diagnostic challenge.
Among the extrapulmonary tuberculoses, the most common manifestation is lymphadenitis.Tuberculosis of the cervical lymph nodes or tuberculous lymphadenitis is a type of chronic specific infection caused by Mycobacterium tuberculosis.Today, approximately 95% of mycobacterial cervical infections in adults are caused by Mycobacterium tuberculosis, and the remainder are caused by atypical mycobacterium, or nontuberculous mycobacterium (NTM). In children, this trend is reversed, with 92% of cases due to atypical mycobacterium.
The diagnosis of TB is mainly based on a positive mycobacterial smear and culture or the histopathological presence of a chronic/caseating granuloma.
The initial therapy is started with a combination of isoniazid (5 mg/kg), rifampicin (10 mg/kg), and pyrazinamide (15 to 20 mg/kg),
When significant side effects occurred, the drug responsible for these effects was replaced by ethambutol (25 mg/kg). The duration of treatment recommended at the patient\’s discharge from the hospital ranged between 6 and 12 months.