DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20173027

Tuberculous cervical lymphadenitis (scrofula): USG, doppler and elastographic evaluation: report of two cases

Suresh V. Phatak, Nipun Gupta, Pallavi Phatak

Abstract


Lymphadenitis is the most generic form of extra pulmonary manifestation of tuberculosis. It is both diagnostic and therapeutic challenge because it mimics various other pathologic processes and yields inconsistent physical laboratory findings. Diagnosis is quite difficult often requiring biopsy. It is also important to differentiate tuberculous from non-tuberculous mycobacterial cervical lymphadenitis as their treatment protocols are different. We are presenting a case report of two patients who presented with neck swelling. Elastography is a recent advance in the field of sonography helping in identifying nature of pathology. Sonography, doppler and elastographic findings are discussed.


Keywords


Cervical lymphadenitis, Elastography, Tuberculosis, Ultrasound

Full Text:

PDF

References


Mohapatra PR, Janmeja AK. Tuberculous lymphadenitis. JAPI. 2009;57:585-90.

Geldmacher H, Taube C., Kroeger C, Magnussen H, Kirsten DK. Assessment of lymph node tuberculosis in northern Germany: a clinical review. Chest. 2002;121(4):1177-82.

Enarson DA, Ashley MJ, Grzybowski S, OstapkowiczE, Dorken E. Non-respiratory tuberculosis in Canada epidemiologic and bacteriologic features. Am J Epidemiol. 1980;112(3):341-51.

Lee KC, Tami TA, Lalwani AK, Schecter G. Contemporary management of cervical tuberculosis. Laryngoscope. 1992;102:60-4.

Khanna R, Sharma AD, Khanna S, Kumar M, Shukla RC. Usefulness of ultrasonography for the evaluation of cervical lymphadenopathy. World J Surg Oncol. 2011;9(1):29.

Ahuja A, Ying M. Sonography of neck lymph nodes. Part II: abnormal lymph nodes. Clin Radiol. 2003;58(5):359-66.

Ahuja A, Ying M, Yuen YH, Metreweli C. Power doppler sonography to differentiate tuberculous cervical lymphadenopathy from nasopharyngeal carcinoma. AJNR Am J Neuroradiol. 2001;22:735-40

Hasan DI, Ahmed Rasha HA, Mohamed AM. Ultrasound elastography in pathological enlarged cervical lymph nodes compared to histopathology. Egyptian J Radiol Nuclear Med. 2016;47(4):1349-59.

Alam F, Naito K, Horiguchi J, Fukuda H, Tachikake T, Ito K. Accuracy of Sonographic elastography in the differential diagnosis of enlarged cervical lymph nodes: comparison with conventional B-mode sonography. AJR. 2008;191:604-10.