Fine Needle Aspiration Diagnosis of Tuberculous Lymphadenitis

The diagnosis and management of peripheral lymph node tuberculosis remains a major problem in most of the developing countries. We retrieved 584 cases of tuberculous lymphadenitis from a total 1124 lymphnode aspirations done over a period of 3 years (1995–1998). Overall acid-fast bacillus positivity...

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Bibliographic Details
Published in:Tropical doctor 2002-07, Vol.32 (3), p.147-149
Main Authors: Handa, Uma, Palta, Anshu, Mohan, Harsh, Punia, R P S
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Distribution
Aged
Bacterial diseases
Biological and medical sciences
Biopsy, Needle
Child
Child, Preschool
Female
Human bacterial diseases
Humans
India - epidemiology
Infant
Infectious diseases
Male
Medical sciences
Middle Aged
Sensitivity and Specificity
Sex Distribution
Tropical medicine
Tuberculosis and atypical mycobacterial infections
Tuberculosis, Lymph Node - epidemiology
Tuberculosis, Lymph Node - pathology
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Summary:The diagnosis and management of peripheral lymph node tuberculosis remains a major problem in most of the developing countries. We retrieved 584 cases of tuberculous lymphadenitis from a total 1124 lymphnode aspirations done over a period of 3 years (1995–1998). Overall acid-fast bacillus positivity was 37.4%, being highest in the cases in which purulent material was aspirated. Fine needle aspiration (FNA) of tuberculous lymphadenopathy provided a high level of diagnostic accuracy as shown by 1.7% false negative and a zero false positive rate. FNA is reliable as an initial evaluating procedure for diagnosis of tuberculous lymphadenitis making it suitable for wider application in developing countries with scant resources.
ISSN:0049-4755
1758-1133
DOI:10.1177/004947550203200309