Tuberculous lymphadenitis in the Nigerian African.
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The diagnosis and therapy of tuberculosis involving peripheral lymph nodes is discussed in a series of thirthy patients. Diagnosis is best made by both bacteriological and histologic study. Therapy is best effected by combining medical tuberculostatics with operative intervention. Epithelioid cell or proliferative forms of lymph node tuberculosis best respond to medical management.
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Cervical lymphadenopathy is a condition with a broad differential diagnosis. Malignant tumors, allergic reactions, autoimmune diseases as well as various infectious agents can be the cause. We report the case of a 75-year-old man who had a cervical lymphadenopathy without symptoms of infection. The draining lymph nodes were excised. Histology revealed a granulomatous abscess and culture yielded pure growth of Listeria monocytogenes. Because food is occasionally contaminated with L. monocytogenes, the pathogenesis of this condition may be similar to that of lymph node tuberculosis.
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A case is reported of a 8-year-old girl with a median cyst of the neck treated surgically. Histologically, it was tuberculous lymphadenitis. It is recommended to account for peripheral lymph node tuberculosis in differential diagnosis of median cysts of the neck.
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