Nontuberculous mycobacterial lymphadenitis of the head and neck: radiologic observations and clinical context

To summarize the radiologic findings in our series of immunocompetent children with NTMA and to review the clinical and laboratory findings, as well as the treatment and clinical courses, in these patients. We reviewed the computed tomographic (CT) studies, as well as the clinical courses of eleven...

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Bibliographic Details
Published in:Pediatric radiology 2003-06, Vol.33 (6), p.402-406
Main Authors: BAGLA, Sandeep, TUNKEL, David, KRAUT, Michael A
Format: Article
Language:English
Subjects:
Bacterial diseases
Biological and medical sciences
Child
Child, Preschool
Cohort Studies
Female
Head - diagnostic imaging
Human bacterial diseases
Humans
Infant
Infectious diseases
Lymphadenitis - diagnostic imaging
Lymphadenitis - microbiology
Lymphadenitis - physiopathology
Male
Medical sciences
Mycobacterium
Mycobacterium - isolation & purification
Mycobacterium Infections - diagnostic imaging
Mycobacterium Infections - physiopathology
Neck - diagnostic imaging
Prognosis
Retrospective Studies
Sensitivity and Specificity
Severity of Illness Index
Tomography, X-Ray Computed
Tuberculosis and atypical mycobacterial infections
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Summary:To summarize the radiologic findings in our series of immunocompetent children with NTMA and to review the clinical and laboratory findings, as well as the treatment and clinical courses, in these patients. We reviewed the computed tomographic (CT) studies, as well as the clinical courses of eleven patients with laboratory-confirmed diagnosis of NTMA, and recorded the anatomic locations of the affected lymph nodes. In 10 of 11 patients, there were peripherally enhancing, centrally cystic nodes. In 7 of the patients, there was (usually mild) inflammation of the regional fat and overlying skin thickening. Adenopathy in the parotid and submandibular regions was most common. In 4 of the patients, there was more than one nodal group involved. In a child who presents with enlarging neck masses and with radiologically demonstrated centrally cystic nodal masses exhibiting relatively little mass effect or inflammatory change in the surrounding fat, the diagnosis of NTMA should be entertained.
ISSN:0301-0449
1432-1998
DOI:10.1007/s00247-003-0884-y