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1 of 12
Marked Record
TI: ECervical 1ymphatic tuberculosis in the 90's: a case report!
AU: Mengoli-F: Smiroldo-A: Vidi-I
AD: USL Valle dell'Adige, Ck-ipedale Regionale S. Chiara, Trento, u.o. di
Oto r i n o1 a ri n go1og i a.
S 0: A <::: t a - 01 o r h i n o 1 a r y n g o 1 -11 a 1 . 1996 Apr; 16(2): 132-5
LA: ITALIAN; NON-ENGLISH
AB: The Authors report a clinical case of lymph nodal cervical. TBC which led to
a retropharyngeal abscess with ossifluent evolution towards the mediastinal
region and with fistulation in the dorsal region. A thorough study was carried
out on the diffusion of the liquid along the fascial plains of the prevertebral
region of the neck and of the mediastinum. With the aid of radiologic tools
(CAT scans in particular), and on the basis of topographical anatomy data
Authors formulate an hypothesis concerning the mechanics that brought about
such a downward development of the abscess. In our opinion this- case may well
be of interest for otolaryngologists from an epidemic point of view (there is a
recrudescence often in atypical manifestations), and because of its surgical
p ec u 1 i a r i t i es.

2 of 12
Marked Record
TI: 1'Infections with mycobacteria other than M- tubercu1osis in children!
AU: Nielsen-VR; Faerregaard-A; Fuursted-K
AD: Hvidovre Hospital, borneafdel.ingen.
SO: Ugeskr-Laeger. 1996 Oct 21: 158(43): 6094-7
LA: DANISH; NON-ENGLISH
AB: We reviewed case records of 2.2 children who were diagnosed as having
nontuberculous mycobacterial infection. All children were previously healthy.
In 20 cases the infection presented as cervical 1 ymp.tiad.en.itis. The patients
were between ten months and 14 years old. and two thirds were between 1 3 and •i->6
months old. The majority (747.) were girls. Mycobacterium avium/intracel lulare
was isolated most frequently (557.). The report describes the diagnosis and
treatment of childhood mycobacteria1 cervical adenopathy. All patients except
one were treated surgically. We found considerable differences in both
preoperative and operative management. When excision of the lymph node (as
opposed to needle biopsy) was performed, diagnosis could be made earlier and
repeated surgical procedures could be avoided.
3 of 12
Marked Record
TI: Lymphadenopathy in Nigerian children.
AU: Adelusola-KA; Uyelami-AU; Udesanmi-WU; Adeodu-00
AD: Department of Morbid Anatomy and Forensic Medicine, □ba femi Awo1owe
University, Ile-lfe, Nigeria.
SO: West-Afr-J-Med. 1996 Apr-Jun; 15(2): 97-100
LA: ENGLISH
AB: The histopathologic findings on 121 excised enlarged lymph nodes from 48
female and 73 male Nigerian children resident in Ife-Ijesa zone of Western
Nigeria over a period of ten years (1982-1991) form the basis of this study.
Patients' ages ranged from 2 months to 15 years. Most of the patients (817.)
were aged 6 years and above. 7 he cervica1 region was the commonest site of
lymphadenopathy (487.) and localized lymphadenopathy was the rule. Chronic

1

1994 is reviewed. Clinical diagnosis was supported by multiple Mantoux skin
testing in most, patients using human purified protein derivative (PPD) and
avian antigens. All were treated surgically with histological confirmation of
the diagnosis. A total of 89 patients were encountered. Twenty-two were seen in
hospital practice between 1966 and 1976 and have already been reported. 1 he
current paper presents the results of analysis of the clinical features,
diagnosis and surgical treatment of the remaining 6/ patients seen in
paediatric surgical practice between 1976 and 1994. RESULTS: There was equal
sex distribution. Ages ranged from t—to—LG years, with none under 1 year, and
B^/Cof the patients were in the pre-school age group. C'ery.Li?.iLl. lymph nodes were
involved in all, the ma,3ority being jugulo—digastric or_ submandibular« Surgical
excision by limited dissection of lymph nodes was performed in 55 patients with
one recurrence, and by excision and curettage in eight patients with two
recurrences. Simple bacterial wound infection occurred in four patients and two
had prolonged postoperative suppuration as a result of mycobacteria1 wound
infection. Paresis of the mandibular or cervical branch of the facial nerve
occurred in 50% of patients where the nerve was at risk, but the majority of
these recovered although it took over 6 months in some children. Lui lure for
mycobacterial organisms was positive in only 29 patients. CDNCLUSI0N6: The
diagnosis of non-1uber• cu 1 ous mycobacteria] 1 ymphadeni tis. is c ]..1.nica 1 and i ts
early recognition requires an awareness of the condition. It
-- can be confirmed
by multiple Mantoux testing or fine needle aspiration biopsy, T h e t r e a t m e n t. i s
local excision of the affected lymph nodes. Histological examination and
mycobacterial culture should be performed.

11 of 12
Marked Record
TI: Loca_lized tuberculous lymphadenopathy associated with the mye1odysp1 astic
syndrome AU: Al-Attia-HM; Shanaa-ZA; Knox-Macaulay-HH
AD: Department of Internal Medicine, Ma
I f raq Hc:<spi t.a 1 « Abu Dhabi ? UAE.
SO: South-Med-3n 1996 Mar; 89(3): 319-20
LA: ENGLISH
AB: A 46-year-old man with fever and pancytopenia was found to have a
mye1odysp1astic syndrome. During the course of the illness, he had localized
• ‘ is.. We believe this association of the
ervical tubercu 1 ous 1 ymphadenit
localized
tuberculosis has not been previously
m y e 1 o d y s p 1 a s t i c s y n d r om e w i t h 1---described.
12 of 12
Marked Record
TI: Epidemiology of Mycobacterium bovis infection in animals and humans, with
particular reference to Africa.
AU: Cosivi-O; Meslin-FX; Daborn-CJ; Grange-JM
AD: Division of Communicable Diseases, World Health Organisation, Geneva,
Switzerland.
S 0: R e v - S c i - T e c h. 1995 Sep; 14(3)x 733-46
LA: ENGLISH
.
.
,
AB: The epidemiology of Mycobacterium bovis infection in animals and humans -is
described, together with a review of available reports on the distribution and
prevalence of this mycobacteriosis in Africa. The significance of these reports
is considered, with particular emphasis on the potential zoonotic importance o
bovine tuber-cu 1 o£>is as a cause for public health concern in efrica. Published
data describing tuberculosis in Europe in the 1930s and 1940s show that bovine
tuberculosis was considered to be a^icinijEirnant zoonosisj M. bovis was
responsible for more than 50% of cervical 1
cases in children.
Despite the paucity of information on M. bovis infection in Africa, there is
sufficient evidence to suggest that it is widely distributed and is found at.
significant!y^high preva1ence in some populations of animals. Some
epidemiological conditions for the spread of M. bovis infection between animals
and humans are very similar in Africa today to those in Europe in the 19a0s,

with the added and potent impact of the epidemic of human immunodeficiency
virus infection. The public health threat of tuberculosis in Africa requires
urgent investigation through col 1aborative veterinary/medical research
programmes.

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