TY - JOUR
T1 - Management of atypical mycobacterial lymphadenitis in childhood
T2 - A review based on 380 cases
AU - Schaad, Urs B.
AU - Votteler, Theodore P.
AU - McCracken, George H.
AU - Nelson, John D.
N1 - Funding Information:
From the Departments of Pediatrics and Surgery, The University of Texas Health Science Center at Dallas, Southwestern Medical School *Dr. Schaad is an Infectious DiseaseResearch Fellow supported by the Swiss National Science Foundation. Reprint address: Urs B. Schaad, M.D., Department of Pediatrics, The University of Texas Health Science Center at Dallas, 5323 Harry Hines Blvd., Dallas, TX 75235.
Copyright:
Copyright 2014 Elsevier B.V., All rights reserved.
PY - 1979/9
Y1 - 1979/9
N2 - The medical and surgical therapy of 82 cases of atypical mycobacterial adenitis from Dallas and 298 cases from the literature was reviewed. The 92% cure rate in 149 patients with total surgical excision alone was comparable to the 95% cure rate in 156 patients when excision was followed by antituberculous drug therapy. With incision and drainage in 63 patients the cure rate was 16% whether drugs were given or not. Ten patients were initially treated with antituberculous drugs alone and only one was cured. It is concluded that total surgical excision is definitive therapy for this disease and that antituberculous drugs should be used only when surgery cannot be performed or when complete excision is not possible.
AB - The medical and surgical therapy of 82 cases of atypical mycobacterial adenitis from Dallas and 298 cases from the literature was reviewed. The 92% cure rate in 149 patients with total surgical excision alone was comparable to the 95% cure rate in 156 patients when excision was followed by antituberculous drug therapy. With incision and drainage in 63 patients the cure rate was 16% whether drugs were given or not. Ten patients were initially treated with antituberculous drugs alone and only one was cured. It is concluded that total surgical excision is definitive therapy for this disease and that antituberculous drugs should be used only when surgery cannot be performed or when complete excision is not possible.
UR - http://www.scopus.com/inward/record.url?scp=0018411239&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0018411239&partnerID=8YFLogxK
U2 - 10.1016/S0022-3476(79)80506-5
DO - 10.1016/S0022-3476(79)80506-5
M3 - Article
C2 - 469659
AN - SCOPUS:0018411239
SN - 0022-3476
VL - 95
SP - 356
EP - 360
JO - The Journal of pediatrics
JF - The Journal of pediatrics
IS - 3
ER -