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Cited by 69Mycobacterium research and diagnosisActinomycetales infections and treatmentDiagnosis and treatment of tuberculosis

The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.

Management of Nontuberculous Mycobacterial Cervical Lymphadenitis

Mandell, David L., Wald, Ellen R., Michaels, Marian G., Dohar, Joseph E.·2003·Archives of Otolaryngology–Head & Neck Surgery
DOI 10.1001/archotol.129.3.341
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Abstract

OBJECTIVE: To review the treatment and outcome of patients with nontuberculous mycobacterial (NTM) cervical lymphadenitis. DESIGN: Retrospective chart review. SETTING: Tertiary care children's hospital. PATIENTS: Thirty consecutive immunocompetent patients (median age, 32 months; age range, 11-147 months) diagnosed as having NTM cervical lymphadenitis over a 77-month period. INTERVENTIONS: Primary therapy for 34 foci of NTM cervical lymphadenitis in 30 children consisted of excisional biopsy (n = 8), incision and drainage procedures (n = 14), fine-needle aspiration biopsy (n = 7), observation only (n = 4), and antimycobacterial chemotherapy only (n = 1). MAIN OUTCOME MEASURES: (1) Time to cure, (2) recurrent adenitis, and (3) complications associated with therapy were determined for each therapeutic option. The average duration of follow-up was 32 months (range, 6-78 months). RESULTS: Nearly all patients (97%) were cured of their disease regardless of which therapeutic option was used. Excisional biopsy, while associated with transient marginal mandibular nerve injury in 1 patient, typically resulted in the most rapid resolution of disease. Observation alone did result in eventual cure, although the disease course was protracted. Simple incision and drainage without curettage was associated with prolonged postoperative wound discharge and hypertrophic scarring. CONCLUSIONS: A variety of therapeutic options were used in children with NTM cervical lymphadenitis. Resolution of infection was an eventual outcome regardless of treatment option, although duration of disease, potential for facial nerve injury, and incidence of hypertrophic scarring varied among the different treatments. An individualized management approach is recommended, with excisional biopsy as the preferred option when feasible.

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Crossref · 10.1001/archotol.129.3.341

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Metadata

Authors
Mandell, D. L., Wald, E. R., Michaels, M. G., & Dohar, J. E.
Affiliations
Children's Hospital of Pittsburgh (US)
Corresponding author
Mandell, David L.
ORCID
Venue
Archives of Otolaryngology–Head & Neck Surgery
Publisher
American Medical Association (AMA)
Published
2003-03-01
Volume
129
Issue
3
Pages
341
ISSN
0886-4470 (ISSN-L)
DOI
10.1001/archotol.129.3.341
OpenAlex
W1994254421
Cited by
69
References
20
Citations by year
2025: 4 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 4 · 2019: 4 · 2018: 3 · 2017: 3 · 2016: 3 · 2015: 6 · 2014: 6 · 2013: 2 · 2012: 3
FWCI
1.69
Type
journal article
Language
en
Open access
closed
Locations
  • Archives of Otolaryngology - Head and Neck Surgery (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Mycobacterium research and diagnosis
  • Health Sciences › Medicine › Microbiology (medical) › Actinomycetales infections and treatment
  • Health Sciences › Medicine › Infectious Diseases › Diagnosis and treatment of tuberculosis
Keywords
nontuberculous mycobacteria, cervical lymphadenitis, pediatric patients, excisional biopsy, incision and drainage, fine-needle aspiration, observation, marginal mandibular nerve injury, hypertrophic scars, treatment outcomes
MeSH terms
Anti-Bacterial Agents, Biopsy, Child, Child, Preschool, Curettage, Drainage, Female, Humans, Infant, Lymphadenitis, Male, Mycobacterium Infections, Postoperative Complications, Retrospective Studies, Skin, Treatment Outcome, Clarithromycin, Cicatrix, Hypertrophic, Trigeminal Nerve Injuries

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