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[A controlled survey comparing 2 short-term therapeutic regimes in lymph node tuberculosis].

To study the efficacy of short term chemotherapy in the treatment of peripheral glandular tuberculosis a controlled trial was carried out in Algiers in March 1982 comparing two therapeutic regimes. All the patients admitted to the study presented with glandular tuberculosis which was proved either histologically or bacteriologically. They were recruited in three clinics serving the Algerian population and were required to live in Algiers. The two anti-tuberculous regimes used consisted of an initial phase of four drugs: Rifampicin (R), Isoniazid (H), Streptomycin (S) and Pyrazinamide (Z) every day for two months. This initial phase was followed by R.H. every day for four months in regime A, making six months treatment in all and for seven months in regime B making nine months treatment in all. 141 patients were thus admitted to the study, of whom 117 could be used for analysis at the end of treatment. Of these 68 were female making up 58% of the total. 12 patients or 10% were under 15 years of age. After two years of review following the end of treatment there were nine therapeutic failures (7.7%) of whom five were in regime A and four were in regime B (no significant difference). Amongst the failures large volume nodes persisted in three patients and two patients presented with new nodes. The lymph nodes increased in volume at the end of treatment in two cases; and finally two patients presented again with fistulae at the end of treatment. There were eight unfavourable outcomes in nine patients under observation during treatment or at the end of chemotherapy. There was only one failure noted some time after the finish of treatment at the end of two years of follow up.

Adolescent↗

[Nasopharyngeal carcinoma coexistent with lymph node tuberculosis, diagnostic difficulties--case report].

Nasopharyngeal carcinoma occurs about 0.25-0.5% all malignancies in Poland. From the mids of a group more frequent are undifferentiated cancer (about 70%). The authors describe a case of undifferentiated nasopharyngeal cancer in 17-years old woman, which is connected with lymphonodular tuberculosis. They point to precise diagnostics of lymphonodular metastases, looking for primary carcinoma focus and difficulties in diagnosis.

Adolescent↗

A retrospective review of paediatric lymph node tuberculosis in Port Moresby, Papua New Guinea.

The study aimed to examine the perception that the relapse rate following standard short-course chemotherapy in children with lymph node tuberculosis is greater than in similarly treated children with pulmonary tuberculosis (TB). The treatment records, clinical data and results of investigations of 427 children treated for lymph node TB between 1989 and 1996 were analysed. The results and role of investigations are discussed. The relapse rate was compared with that of 892 children treated for pulmonary TB during the same period. The documented relapse rate for lymph node TB was 2.8% compared with 0.6% in pulmonary TB. This highly significant difference led to a prospective study of outcome of lymph node TB treatment in Port Moresby.

Biopsy, Needle↗

[Lymph node tuberculosis].

Ganglionic tuberculosis with a cervicofacial location is still frequent in Tunisia. The main problem posed is bacteriological. Over the last nine years, we have treated 110 patients. There is a clear male predominance. The preferential location is the jugulocarotid and upper spinal chain. The notions of contamination and a secondary location, particularly in the lungs, are rarely encountered. Extended cellulolymphadenectomy is the basis of surgical treatment, backed up by polychemotherapy over a period of 6 months.

Adolescent↗

[Peripheral lymph node tuberculosis in Djibouti].

153 well documented records, gathered in one year in a Tuberculosis Center, were studied. Adenoid localization represents on fourth of all tuberculosis, and 95% of all etiologies of peripheral adenopathies. Value of bacteriological tests is studied and compared to the one of histology. The almost sole presence of Mycobacterium tuberculosis hominis is an uncommon datum, interesting in the field of epidemiology. The recorded outstanding efficacy of modern anti-tuberculosis drugs is less known, perhaps because of scarcity of recent works on such localizations. Some easy and reliable guidance is proposed within the context of a Communicable Diseases Program.

Adolescent↗

[Duration of treatment and followup of patients operated for peripheral lymph nodes tuberculosis].

The paper analyzes patients with localized caseous necrotic tuberculosis of the peripheral lymph nodes, who were treated with antituberculous agents and underwent early surgical interventions. Follow-ups of the patients' status, changes in the clinical signs of the disease, hemograms, ESR, and immunological parameters revealed that the duration of the basic treatment regimen and follow-ups averaged 5 months and 4 years, respectively.

Antitubercular Agents↗

[Ileocecal and lymph node tuberculosis: a rare association in our area].

A case of ileocecal tuberculosis associated to lymphatic nodes TB, is presented. This association is not frequently observed in all series and isolated cases registered in medical literature. In this particular case, we comment on the pathogenic problems of primary intestinal TB and the importance of the systemic clinical suspicion to diagnose this, nowadays, rare problem in our area. Finally, we discuss the value of certain diagnosis criteria related to the actual therapy, in which the conservative character is dominant, this therapy also being applied to post-surgical fistula in some individual cases such as the one presented here.

Female↗