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At least 73 records · Page 4Linked to original sources
PubMed1975

Diagnosis and management of tuberculous cervical adenitis.

In a series of 133 patients with a primary diagnosis of tuberculosis admitted to the Naval Regional Medical Center, San Diego, Calif, during a four-year period from July 1967 to July 1971, 29 (16.7%) had extrapulmonary lymphadenitis. The cervical region was involved in 20 (68.7%) of these cases. This report reviews the history of scrofula and deals with specific diagnostic tests which are helpful in separating tuberculous adenitis from other masses found commonly in the neck. Excisional biopsy and methods of handling these specimens are stressed. The higher incidence of tuberculous lymphadenitis in dark-skinned individuals, especially Orientals, when compared with a similar population group with pulmonary tuberculosis is noted and theories for this stated.

Adult↗
PubMed1982

Group B streptococcal cellulitis-adenitis in infants.

Seven infants with group B streptococcal (GBS) cellulitis-adenitis were compared with nine previously described patients. The clinical features of infection included a mean age at onset of five weeks, a male predominance (75%), a history of poor feeding or irritability (94%), and a rapid resolution with appropriate antimicrobial therapy. Bacteremia occurred in 94% of the patients. Type III GBS were associated with 75% of these infections; no antibody response to the capsular antigen of these organisms was detected in convalescent sera. Two of our cases had previously unreported sites of involvement, inguinal lymph nodes and a thyroglossal duct cyst. Four infants (80%) with typical facial or submandibular GBS cellulitis had ipsilateral otitis media at the time of admission. Otitis media with subsequent lymphatic spread to facial or submandibular areas, rather than primary bacteremia, may explain the pathogenesis of these unusual infections.

Cellulitis↗
PubMed1977

Hyperparathyroidism in persons treated with X-rays for tuberculous cervical adenitis.

Follow-up examinations of one hundred persons treated with x-rays for tuberculous adenitis between 1930 and 1946 have been carried out to determine if there is an increased incidence of hyperparathyroidism (HPT) after radiation exposure. Neck explorations were done in patients with hypercalcemia and signs and symptoms compatible with HPT. Individuals with thyroid masses were also operated upon when examination of fine needle specimens gave suspicions of malignancy. Eleven subjects were found to have developed parathyroid adenoma or hyperplasia. Four other individuals have hypercalcaemia but are asymptomatic. The mean absorbed dose in the parthyroid glands varied between 75 and 2,200 rads. Six individuals received more than 1,200 rads; four of them later developed HPT, while no HPT occurred below a dose of 300 rads. The high incidence of HPT among patients who had been heavily exposed to radiation suggests a cause and effect relationship between radiation treatment and development of HPT.

Adenoma↗
PubMed1984

Periportal tuberculous adenitis: a rare cause of obstructive jaundice.

A patient with a clinical history of pulmonary tuberculosis presented with obstructive jaundice. Compression of the extrahepatic bile ducts was caused by calcified lymph nodes secondary to tuberculous adenitis of the porta hepatis. The role of radiologic methods in the diagnosis and management of this unusual complication is discussed.

Adult↗
PubMed2004

Trace metals in the brown mussel Perna perna from the coastal waters off Yemen (Gulf of Aden): how concentrations are affected by weight, sex, and seasonal cycle.

The effects of seasonal cycle, sex of individuals, and changes of soft tissues weight on accumulated trace metal concentrations (Cd, Cu, Fe, Mn, Pb, Zn) were examined in the brown mussel Perna perna collected monthly from a natural rocky habitat in the coastal waters off Yemen, the Gulf of Aden, for a period of ten months. Basic hydrological parameters were recorded simultaneously. All metals analyzed displayed seasonal fluctuations with different temporal patterns and variable amplitudes. Similar seasonal cycles were observed for Cu, Mn, and Pb with an increase in accumulated concentration during the rainy period (NE monsoon), and a decrease thereafter. The concentrations of Cu, Mn, and partially Pb appeared to be related to environmental changes, the concentration of Pb possibly also being related to changes in body weight. Accumulated concentrations of Cu and Mn thus seem to reflect actual metal bioavailability in the ecosystem quite efficiently. The tissue levels of Fe and Cd changed inversely to fluctuations in body weight with additional variation due to monsoon-related environmental changes. The behaviors of Fe and Cd are therefore driven by seasonally changing body weight with a considerable contribution of external factors including fluctuations in hydrological conditions and metal exposure. The Zn concentrations tended to increase gradually throughout most of the year regardless of its concentration in the environment. Zinc is considered to be mainly regulated by physiological mechanisms in the mussel, making its accumulated metal concentration independent to some degree of environmental levels. Significant differences in trace metal concentrations between sexes (in favour of females) might have resulted from more intense formation of reproductive tissues and metal accumulation in sexual products of females during the prespawning and spawning periods.

Animals↗
PubMed1980

Biliary tract obstruction due to tuberculous adenitis.

A 25 year old woman presented with constitutional symptoms and biochemical evidence of biliary tract obstruction. A mass in the region of the head of the pancreas was detected and she underwent laparotomy which revealed isolated tuberculous adenitis of peripancreatic lymph nodes. Complete recovery resulted following the administration of isoniazid and ethambutal.

Adult↗
PubMed1984

Nontropical chyluria secondary to massive mesenteric adenitis. Case report with metabolic and immunologic studies.

This report describes metabolic and immunologic studies in a 17-year-old white man with nontropical chyluria secondary to massive mesenteric adenitis. Numerous red cells and mature lymphocytes were observed in the urine, and cystoscopic examination demonstrated chyle emanating from both ureteral orifices. Retrograde studies demonstrated pyelolymphatic backflow, and lymphangiography revealed prominent lymphaticocaliceal communications. Twenty-four-hour urinary studies showed proteinuria and lipiduria, which decreased after lymphangiography and a low-fat diet. Skin tests for delayed hypersensitivity were nonreactive, the lymphocyte count was decreased, and lymphocyte responses to phytohemagglutinin and pokeweed mitogen were normal. Chyluria ceased after interruption and ligation of the renal and mesenteric lymphatics.

Adolescent↗
PubMed1989

A postmortem study of focal adenitis in salivary and lacrimal glands.

Investigations were carried out on 102 consecutive medicolegal post-mortem subjects to identify signs of focal adenitis in labial, submandibular, and lacrimal glands. There were 19 subjects (18.6%) with focus scores exceeding 1 in one or two of the types of glands. Among the 19, five had had a disease which is generally associated with Sjögren's syndrome or is autoimmune in nature. In another 63 subjects occasional lymphocytic foci were found in one, two, or all three types of gland. Fibrosis, atrophy, and fatty change had occurred most often in the labial salivary glands in those over 50 years of age with or without high focus scores. Fibrosis, atrophy, and fat infiltration had hardly ever occurred in the lacrimal glands, although this is the type of gland in which high focus scores occur most often. The results suggest that there may be a common autoimmune basis for Sjögren's syndrome and other diseases, the mechanisms of which are still incompletely understood. A focus score exceeding 1 may be an indicator of Sjögren's syndrome, but the diagnosis should not be established on the biopsy findings alone.

Adolescent↗
PubMed2004

Streptococcal necrotizing fasciitis with toxic shock syndrome following cervical adenitis.

In the recent years an increase of serious invasive infections due to Group A Streptococcus have been reported. Necrotizing fasciitis is a rapidly progressive soft tissue infection characterized by necrosis of the subcutaneous tissues and superficial fascia. We report a case of necrotizing fasciitis and toxic shock syndrome following cervical adenitis in a previously healthy 11-month-old boy. Cultures from blood and the necrotic lymph node grew Group A Streptococcus. Group A Streptococcus belonging to M1 serotype and producing streptococcal pyrogenic exotoxin, SPE A was identified. Full recovery was achieved by aggressive treatment, which included intensive care support, extensive surgical debridement of necrotic lesions and antibiotic treatment with the combination of penicillin and clindamycin.

Fasciitis, Necrotizing↗
PubMed1997

Sebaceous adenitis.

A 32-year-old man had an asymptomatic erythematous, annular and circinate eruption on the face for 2 months. Histologic examination revealed sebaceous lobules surrounded by a lymphomonocytic infiltrate and some areas of necrotic sebocytes. The lesions healed without treatment in 1 month. These clinical features can be observed in "neutrophilic sebaceous adenitis," recently described by Renfro et al. The most striking abnormality is the nearly exclusive perisebaceous distribution of the dermal cellular infiltrate with inflammatory cell permeation of the sebaceous epithelium.

Adult↗
PubMed2003

Purified protein derivative: the vital part of the cervical tuberculous adenitis diagnosis.

OBJECTIVE: The purpose of this study was to review the diagnostic procedures for tuberculous cervical adenitis (TCA) and state the most valuable diagnostic protocol. Patients and methods Fifty-eight patients who presented with progressive, painless, enlarging neck masses and were diagnosed with TCA between 1988 and 1998 at Beyoglu Hospital, Istanbul, were retrospectively reviewed. RESULTS: The chest roentgenograms were normal in all patients. The purified protein derivative skin testing was positive in every case. The fine needle aspiration biopsy was consistent with mycobacterial infection in 27 (46%) of 58 cases, and biopsy results correctly diagnosed TCA in all masses excised. CONCLUSION: Tuberculosis should be considered in the differential diagnosis of the neck masses. Purified protein derivative with detailed history and physical examination should be the first step in the diagnosis.

Adolescent↗
PubMed1998

Ultrasound in the diagnosis of cervical tuberculous adenitis.

Ultrasound (US) of cervical tuberculous adenitis (CTA) was demonstrated to produce a characteristic pattern of the affected nodes in the majority of the patients in this study. The contribution of US to the diagnosis and assessment of CTA is evaluated. It is concluded that, since the other diagnostic tests for CTA are not reliable and/or time-consuming, the demonstration of nodal calcifications, conglomerate nodal masses and spread into the subcutaneous tissues at US in patients with elusive cervical masses may result in earlier recognition of CTA.

Adult↗
PubMed2005

[Propionibacterium acnes adenitis].

INTRODUCTION: Propionibacterium acnes is a gram-positive pleomorphic rod-shaped anaerobic saprophyte of the skin, mouth and upper respiratory tract. Although associated with acne vulgaris, it is otherwise reported as a human pathogen only rarely, in various infections, notably cutaneous and osteoarticular, and in endocarditis. We report here a case of bilateral P. acnes-abscessed adenitis of the inguinal folds. CASE: A 32 year-old man presented with inguinal lymph nodes that had progressively and bilaterally reddened and become painful, with fistulation of the skin and pus. Culture of a surgical sample identified P. acnes. DISCUSSION: Although this strain has been associated with lymph node granuloma, especially in sarcoidosis, abscessed lymph node infection as seen in our patient has never been reported.

Adult↗
PubMed2006

Nontuberculous mycobacterial adenitis: effectiveness of chemotherapy following incomplete excision.

BACKGROUND: Management of lymphadenopathy caused by nontuberculous mycobacteria (NTM) is primarily surgical. Where this cannot achieve sufficient clearance of infected nodes, chemotherapy is often given. AIM: This study compared results of surgery alone with surgery followed by chemotherapy in instances where there was incomplete surgical removal of diseased tissue. METHODS: Chemotherapy comprised azithromycin 10 mg/kg and rifabutin 6 mg/kg both given once daily for 6 mo. Ninety-eight children with NTM infection were seen in the period 1990-2004. Sixty-eight cases with adenopathy where "time to healing" (discharge stopped and inflammation settled) was known were available to compare response to treatment. RESULTS: The median (range) "time to healing" in weeks for 43 patients who had surgery alone was: incision and drainage (I&D)/curettage 6 (1-72) (n = 10); excision 3 (1-28) (n = 22); and from the last operation of multiple (repeat) surgery 3 (1-40) (n = 11). For 25 patients who required chemotherapy in addition to surgery, the median (range) "time to healing" in weeks was I&D/curettage 10 (1-40) (n = 17), excision 14 (8-20) (n = 2) and multiple surgery 29 (2-88) (n = 6). CONCLUSION: In children with adenitis due to NTM, where surgical resection is followed by continued discharge and inflammation, chemotherapy should be considered before further surgery is undertaken.

Anti-Bacterial Agents↗
PubMed2003

Nontuberculous mycobacterial cervical adenitis: a ten-year retrospective review.

OBJECTIVE: To review the authors' institutional experience with nontuberculous mycobacterial cervical adenitis in children over a 10-year period. STUDY DESIGN: Retrospective chart review. METHODS: The case histories of 79 children with nontuberculous mycobacterial lymphadenitis who presented to a large tertiary care referral center from 1989 to 1999 were retrospectively analyzed, and the demographics, clinical presentation, methods of diagnosis, and types of surgical intervention they underwent were reported. RESULTS: The mean age at presentation was 3.6 years. The male-to-female ratio was 1:2, and the frequency of presentation was highest in the winter and spring months. The diagnosis was not immediately apparent to most primary health care physicians because there was a delay between the appearance of the lump and referral for treatment, which was in excess of 8 weeks. Involved nodes were mainly treated surgically. The recurrence rate of complete surgical resection was less than 1%. CONCLUSION: The study highlights the fact that a high index of clinical suspicion is needed to make an early diagnosis of nontuberculous mycobacterial lymphadenitis and lends further weight to the already existing evidence that surgical excision remains the mainstay of successful treatment for lymphadenitis caused by nontuberculous mycobacteria.

Adolescent↗
PubMed2004

Mesenteric adenitis and portal vein thrombosis due to Fusobacterium nucleatum.

We report the first description of portal and mesenteric vein thrombosis associated with suppurative mesenteric adenitis in a 71-year-old woman. The bacterium detected in mesenteric lymph nodes was Fusobacterium nucleatum, an anaerobic Gram-negative bacillus. Our patient had a clinical syndrome of pharyngitis and fever preceding portal vein thrombosis. Abdominal symptoms improved with antibiotics and anticoagulant therapy. This location of F. nucleatum in mesenteric lymph nodes provides an interesting insight into the occurrence of septic thrombosis in the portal vein following pharyngo-tonsillar infection.

Aged↗
PubMed1996

Atypical PFAPA syndrome (periodic fever, aphthous stomatitis, pharyngitis, adenitis) in a young girl with Fanconi anemia.

PURPOSE: To describe a case of atypical, severe, periodic fever, aphthous stomatitis, pharyngitis and adenitis syndrome (PFAPA syndrome) in a patient with Fanconi anemia. Important aspects about the PFAPA syndrome and Fanconi anemia are reviewed. PATIENTS AND METHODS: An 8-year-old girl with Fanconi anemia was noted to have a pattern of periodic fever, stomatitis, and pharyngitis consistent with the diagnosis of PFAPA syndrome, a generally benign disorder. After prednisone treatment for the syndrome, life-threatening intestinal ulceration and perforation developed, which was successfully treated. CONCLUSION: In patients with underlying hematologic disease such as Fanconi anemia, PFAPA syndrome may be associated with severe clinical problems in contrast to otherwise normal children with the disorder.

Cecal Diseases↗
PubMed1980

The aetiology of acute cervical adenitis in children: serological and bacteriological studies.

Acute cervical adenitis was investigated in 26 children over a 33-month period. Lymph nodes were aspirated and cultured to yield Staphylococcus aureus or group-A streptococci or both from 22 (84.6%) of the aspriates. Mycobacterium kansasii was isolated from one child. By combined culture and serial serological tests (antistreptolysin-O, anti-DNAase B, and anti-NADase), 50% of the cases were found to be associated with streptococcal infection. In a few children, S. aureus was the only organism recovered, and appeared to be the aetiological agent.

Adolescent↗