WordNet
- inflammation of lymph nodes
PrepTutorEJDIC
- 結核(性)の・ゲッカコウ(月下香)(ヒガンバナ科の球根植物)
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2015/12/23 14:47:43」(JST)
[Wiki en表示]
Tuberculous lymphadenitis |
Tubercular adenitis with sinus
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Classification and external resources |
Specialty |
Infectious disease |
ICD-10 |
A18.2 |
ICD-9-CM |
017.2 |
Tuberculous lymphadenitis (or tuberculous adenitis) is a chronic specific granulomatous inflammation of the lymph node with caseation necrosis, caused by infection with Mycobacterium tuberculosis or Mycobacterium bovis.
The characteristic morphological element is the tuberculous granuloma (caseating tubercule). This consists of giant multinucleated cells and (Langhans cells), surrounded by epithelioid cells aggregates, T cell lymphocytes and fibroblasts. Granulomatous tubercules eventually develop central caseous necrosis and tend to become confluent, replacing the lymphoid tissue.
Stages of Tubercular Lymphadenitis -
- Lymphadenitis
- Periadenitis
- Cold abscess
- 'Collar stud' abscess
- Sinus
Tuberculous lymphadenitis is popularly known as Collar stud abscess, due to its proximity to the collar bone and superficial resemblance to a collar stud, although this is just one of the five stages of the disease. The characteristic morphological element is the tuberculous granuloma (caseating tubercule): giant multinucleated cells (Langhans cells), surrounded by epithelioid cells aggregates, T cell lymphocytes and few fibroblasts. Granulomatous tubercules evolve to central caseous necrosis and tend to become confluent, replacing the lymphoid tissue.
Treatment
Incision drainage with proper evacuation of the abscess, followed by anti-tubercular antibiotic treatment.
External links
Gram-positive bacterial infection: Actinobacteria (primarily A00–A79, 001–041, 080–109)
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Actinomycineae |
Actinomycetaceae |
- Actinomyces israelii
- Actinomycosis
- Cutaneous actinomycosis
- Tropheryma whipplei
- Arcanobacterium haemolyticum
- Arcanobacterium haemolyticum infection
- Actinomyces gerencseriae
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Propionibacteriaceae |
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Corynebacterineae |
Mycobacteriaceae |
M. tuberculosis/
M. bovis |
- Tuberculosis: Ghon focus/Ghon's complex
- Pott disease
- brain
- Tuberculous lymphadenitis
- Tuberculous cervical lymphadenitis
- cutaneous
- Scrofuloderma
- Erythema induratum
- Lupus vulgaris
- Prosector's wart
- Tuberculosis cutis orificialis
- Tuberculous cellulitis
- Tuberculous gumma
- Lichen scrofulosorum
- Tuberculid
- Papulonecrotic tuberculid
- Primary inoculation tuberculosis
- Miliary
- Tuberculous pericarditis
- Urogenital tuberculosis
- Multi-drug-resistant tuberculosis
- Extensively drug-resistant tuberculosis
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M. leprae |
- Leprosy: Tuberculoid leprosy
- Borderline tuberculoid leprosy
- Borderline leprosy
- Borderline lepromatous leprosy
- Lepromatous leprosy
- Histoid leprosy
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Nontuberculous |
R1: |
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R2: |
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R3: |
- M. avium complex/Mycobacterium avium/Mycobacterium intracellulare/MAP
- M. ulcerans
- M. haemophilum
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R4/RG: |
- M. fortuitum
- M. chelonae
- M. abscessus
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Nocardiaceae |
- Nocardia asteroides/Nocardia brasiliensis
- Rhodococcus equi
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Corynebacteriaceae |
- Corynebacterium diphtheriae
- Corynebacterium minutissimum
- Corynebacterium jeikeium
- Group JK corynebacterium sepsis
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Bifidobacteriaceae |
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Index of bacterial disease
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Description |
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Disease |
- Gram-positive firmicutes
- Gram-positive actinobacteria
- Gram-negative proteobacteria
- Gram-negative non-proteobacteria
- Cholera
- Tuberculosis
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Treatment |
- Antibiotics
- cell wall
- nucleic acid
- mycobacteria
- protein synthesis
- other
- Antibodies
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UpToDate Contents
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English Journal
- Disseminated tuberculosis in an HIV-infected child: rifampicin resistance detected by GeneXpert in a lymph node aspirate but not in cerebrospinal fluid.
- Gamell A1, Ntamatungiro AJ2, Battegay M3, Letang E1.
- BMJ case reports.BMJ Case Rep.2015 Aug 3;2015. pii: bcr2014207997. doi: 10.1136/bcr-2014-207997.
- A 9-year-old HIV-infected child previously treated with inadequate doses of antitubercular drugs based on weight was admitted 5 months after initial tuberculosis (TB) diagnosis with acute hemiplegia and inguinal lymphadenopathies in a rural hospital in Tanzania. He was diagnosed with TB meningitis
- PMID 26240094
- Host susceptibility to non-tuberculous mycobacterial infections.
- Wu UI1, Holland SM2.
- The Lancet. Infectious diseases.Lancet Infect Dis.2015 Aug;15(8):968-80. doi: 10.1016/S1473-3099(15)00089-4. Epub 2015 Jun 3.
- Non-tuberculous mycobacteria cause a broad range of clinical disorders, from cutaneous infections, such as cervical or intrathoracic lymphadenitis in children, to disseminated infections at all ages. Recognition of the underlying immune defect is crucial for rational treatment, preventive care, fami
- PMID 26049967
- Tuberculous periportal lymphadenitis: A diagnostic challenge.
- Ramia JM1, Diaz-Morfa M2, Caminoa A3, Gijón L4, de la Plaza R5.
- Cirugia espanola.Cir Esp.2015 Jul 31. pii: S0009-739X(15)00171-2. doi: 10.1016/j.ciresp.2015.05.009. [Epub ahead of print]
- PMID 26238428
Japanese Journal
- C型慢性肝炎の3剤併用療法中に結核性縦隔リンパ節炎を認めた1例
- 耳鼻咽喉科診療における結核:―頸部リンパ節結核を中心に―
- 神経根脊髄症を呈し腹部リンパ節生検にて診断しえた結核性脊髄神経根炎の1例
Related Links
- Tuberculous lymphadenitis is among the most frequent presentations of extrapulmonary tuberculosis (TB). Tuberculous lymphadenitis in the cervical region is known as scrofula. This syndrome can also be caused by nontuberculous ...
- El término Tuberculous lymphadenitis figura en la edición en idioma inglés de Wikipedia. Allí se dice al respecto lo siguiente: Tuberculous lymphadenitis (or tuberculous adenitis) is a chronic specific granulomatous inflammation of the lymph node ...
Related Pictures
★リンクテーブル★
[★]
- 英
- tuberculous lymphadenitis
- 関
- リンパ節炎
[★]
- 関
- TB、tuberculosis