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At least 883 records · Page 49Linked to original sources
PubMed2005

[Computed tomography in the diagnosis and classification of tuberculosis of intrathoracic lymph nodes].

Six hundred and seventy-six children suffering from tuberculosis and infected with Mycobacterium tuberculosis (MBT) were examined. The specific features of the involvement of intrathoracic lymph nodes (ITLN), their extent, site localization, size, structure, and secondary changes in the adjacent tissues were identified. A computed tomographic (CT) classification of ITLN was proposed. The types of ITLN were identified; these were severe adenopathy, mild adenopathy, and micropolyadenopathy. ITLN that were less than 5-mm, multiple, soft tissue, homogeneous in a child with Mycobacterium-infected tuberculosis were regarded an objective reflection of insidious tuberculosis infection. There is evidence for the necessity of making a CT study of children with tuberculosis and those infected with MBT as an absolutely indicated X-ray technique.

Child↗
PubMed1995

[Pulmonary tuberculosis with systemic lymph node swelling].

A 31-year-old woman was admitted to our hospital because of cervical and axillar lymph node swelling. A chest X-ray film showed many nodular shadows and a cavity in the left upper lung field. The tuberculin test was positive. Transbronchial lung biopsy and cervical lymph node biopsy were done. Examination of the biopsy specimens revealed epithelial granulomas with caseous necrosis. Thus, pulmonary tuberculosis with systemic lymph node swelling was diagnosed. Examinations during the patient's hospital stay showed that she was not an immunocompromised host. Pulmonary tuberculosis with systemic lymph node swelling occurs only rarely in a non-immunocompromised host.

Adult↗
PubMed1999

[Diagnostic and therapeutic aspects of lymphatic tuberculosis: apropos of 42 cases].

We report a retrospective study of 42 cases of lymph node tuberculosis. We noted symptoms of tuberculosis impregnation in 92%, cervical localization in 71%, positive tuberculin intra-dermo-reaction in 77%, and accelerated erythrocyte sedimentation rate in 73% of the cases. Koch bacillus was detected in expectoration, urine or gastric liquid at the rate of 11% of the cases. Lymph node function was suggestive in 4 out of 12 patients, showing giant cells with or without caseum. Lymph node biopsy, performed in 32 patients, was contributive in 94% of them. Another tuberculous localization was found in 14 cases mainly pulmonary (8 cases).

Adolescent↗
PubMed1995

[Pulmonary tuberculosis complicated with tuberculosis of oral mucosa, mandible and cervical lymph nodes].

A case of pulmonary tuberculosis complicated with tuberculous of oral mucosa, mandible and cervical lymph nodes in 53-year-old man is reported. He was firstly treated for right side dental caries. He also received routinely an empiric antibiotic therapy, but discharge of pus continued. Then, pain of oral cavities spread to the right shoulder. The diagnosis of oral mucosa, osteomyelitis of mandible and lymph node tuberculosis was made by the histological examination of biopsy specimens and positive smear test for M. tuberculosis in granulation. The chest X-ray film showed multiple nodular shadows in bilateral lungs. The combination of INH, RFP and SM was applied initially and then SM was replaced by CS due to its side effect. Negative smear test for M. tuberculosis of oral mucosa was achieved five months after the initiation of treatment.

Humans↗
PubMed2006

[Comparative characterization of x-ray studies for diagnosing minor forms of tuberculosis of intrathoracic lymph nodes].

This paper deals with a follow-up of children referred for further studies with a presumptive diagnosis of minor tuberculosis of intrathoracic lymph nodes (ITLN). The authors compare the efficiency and implication of all used X-ray tomographic studies. In 2002 to 2005, a total of 187 children were examined by survey X-ray study, imaging, and computed tomography (CT). X-ray study applying the conventional procedure revealed enlarged ITLN in 64 (34.2%) children and deformity of the lung roots in 108 (57.6%); in 15 (8.0%) children having no changes on routine X-ray tomographic study, positive tuberculin tests suggesting the high activity of tuberculous infection served as the basis for further examination. Comprehensive clinical and X-ray studies employing CT confirmed the diagnosis of tuberculosis in 81 (43.3%) children. It has been ascertained that CT can visualize ITLN that is no longer observable by means of the conventional X-ray tomographic procedure. The use of CT excludes cases of hyperdiagnosis of minor forms of tuberculosis of ITLN, which are encountered when traditional X-ray tomography is applied.

Adolescent↗