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| TAF Preventive Medicine Bulletin. 2010; 9(4): 271-276 Lymph Node Tuberculosis in Non-HIV Positive Young Male Patients: Retrospective Analysis of 33 Cases Teoman Doğru, Ahmet Karakaş, Nuri Karadurmuş, Vedat Turhan, Kenan Sağlam.Abstract
AIM: To analysis retrospectively the clinical and demographic characteristics of a small group of patients with lymph node tuberculosis (TB) in Turkey, and review the current diagnostic and therapeutic measures.
METHOD: Thirty-three patients (31 male, 2 female; mean age 24.9 ±5.4) diagnosed with lymph node TB between 2000 and 2003 were evaluated.
RESULTS: No patient had history of alcohol or drug abuse. Cervical region was the most common involvement site (84.8%). Non-tender swelling was the initial symptom in most of the cases (93.9%). The diagnosis was based on the excisional lymph node biopsy on 93% of cases. No patient was HIV (+). Antituberculous treatment was generally well tolerated.
CONCLUSION: This report suggests that TB remains an important etiologic factor for lymphadenitis in HIV negative patients. Lymph node TB responds to short term combined antituberculous treatment in most patients.
Key words: Extrapulmonary Tuberculosis, Lymph Node Tuberculosis, Lymph Node Enlargement
HIV Enfeksiyonu Olmayan Genç Erkek Hastalarda Lenf Nodu Tüberkülozu: 33 Olgunun Retrospektif Analizi Özet
AMAÇ: Bu çalışma, lenf nodu tüberkülozlu küçük bir hasta grubunun klinik ve demografik özelliklerinin retrospektif olarak incelenmesi ve mevcut tanı-tedavi yöntemlerinin gözden geçirilmesi amacı ile yapıldı.
YÖNTEM: 2000-2003 yılları ararsında lenf nodu tüberkülozu tanısı konmuş otuzüç (31 erkek, 2 kadın, ortalama yaş 24.9 ±5.4) hasta değerlendirildi.
BULGULAR: Hiçbir hastada alkol veya uyuşturucu madde kullanımı yoktu. Servikal bölge en sık tutulum gözlenen bölge idi (%84.8). Ağrısız şişlik en sık saptanan başlangıç semptomuydu. (%93.9). Tanı hastaların servikal lenf nodu eksizyonel biyopsisi ile kondu. Hastalar HIV serolojisi açısından negatifti. Uygulanan tüberküloz tedavisi genel olarak iyi tolere edildi.
SONUÇ: Bu sonuçlar, ülkemizde tüberkülozun HIV negatif hastalar da dahil olmak üzere lenfadenitlerin önemli bir nedeni olduğunu göstermektedir. Lenf nodu tüberkülozu çoğu hastada kısa sureli kombine antitüberküloz tedaviye iyi yanıt vermektedir.
Anahtar Kelimeler: Ekstrapulmoner Tüberküloz, Lenf Nodu Tüberkülozu, Lenf Nodu Büyümesi
Article Statistics
Viewed: 33 Downloaded: 27 Emailed: 0 | Howto Cite this Article | | Pubmed Style Doğru T, Karakaş A, Karadurmuş N, Turhan V, Sağlam K. Lymph Node Tuberculosis in Non-HIV Positive Young Male Patients: Retrospective Analysis of 33 Cases. TAF Prev Med Bull. 2010; 9(4): 271-276.
Web StyleDoğru T, Karakaş A, Karadurmuş N, Turhan V, Sağlam K. Lymph Node Tuberculosis in Non-HIV Positive Young Male Patients: Retrospective Analysis of 33 Cases. www.scopemed.org/?mno=1347 [Access: September 03, 2010]
AMA (American Medical Assoc.) StyleDoğru T, Karakaş A, Karadurmuş N, Turhan V, Sağlam K. Lymph Node Tuberculosis in Non-HIV Positive Young Male Patients: Retrospective Analysis of 33 Cases. TAF Prev Med Bull. 2010; 9(4): 271-276.
Vancouver/ICMJE StyleDoğru T, Karakaş A, Karadurmuş N, Turhan V, Sağlam K. Lymph Node Tuberculosis in Non-HIV Positive Young Male Patients: Retrospective Analysis of 33 Cases. TAF Prev Med Bull. (2010), [cited September 03, 2010]; 9(4): 271-276.
Harvard StyleDoğru, T., Karakaş, A., Karadurmuş, N., Turhan, V. & Sağlam, K. (2010) Lymph Node Tuberculosis in Non-HIV Positive Young Male Patients: Retrospective Analysis of 33 Cases. TAF Prev Med Bull, 9 (4), 271-276.
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