A clinical review of 128 cases of head and neck tuberculosis presenting over a 10-year period in Bradford, UK
| Autor: | D R Strachan, D Gouldesbrough, C Bem, K Menon |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Larynx medicine.medical_specialty Pediatrics Tuberculosis Adolescent Constitutional symptoms Tuberculosis Ocular Tuberculosis Lymph Node Age Distribution Tuberculosis Laryngeal Tuberculosis diagnosis Nasopharynx Epidemiology medicine Humans Sex Distribution Child Tuberculosis Cutaneous Retropharyngeal space Aged Retrospective Studies Aged 80 and over business.industry Pharyngeal Diseases General Medicine Middle Aged medicine.disease Surgery medicine.anatomical_structure England Otorhinolaryngology Cervical lymph nodes Child Preschool Female business Tuberculosis Oral |
| Zdroj: | The Journal of Laryngology & Otology. 121:362-368 |
| ISSN: | 1748-5460 0022-2151 |
| DOI: | 10.1017/s0022215106002507 |
| Popis: | Aims: To analyse the epidemiology, presentation and diagnosis of head and neck tuberculosis (TB).Methods: We conducted a 10-year retrospective study of all cases of tuberculosis of the head and neck region occurring in Bradford, UK.Results: Of a total of 1315 cases of TB, 128 presented with head and neck TB (12 per cent of which (15/128) were in children). Cervical lymph nodes were most commonly involved (87 per cent, 111/128), other sites being: salivary glands (five cases); larynx, oral cavity, eyes and ears (two cases each); and skin, thyroid, nasopharynx and retropharyngeal space (one case each). Patients' ethnic origins were Asian (89 per cent, 114/128), Caucasian (10 per cent, 13/128) and African (one case). Only 26 per cent (33/128) had constitutional symptoms, and 20 per cent (25/128) had a coexistent site of TB. Only 39 per cent (40/105) of surgical specimens were sent for culture.Conclusions: Isolated head and neck TB is not uncommon. Atypical presentations render diagnosis challenging, so awareness aids early diagnosis. Mycobacterial cultures should be performed, where possible, for diagnosis. |
| Databáze: | OpenAIRE |
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