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Korean J Med > Volume 88(3); 2015 > Article
The Korean Journal of Medicine 2015;88(3): 262-266.
림프절 결핵
박상원
서울대학교 의과대학 보라매병원 감염내과
Tuberculous Lymphadenopathy
Sang-Won Park
Division of Infectious Diseases, Department of Internal Medicine, Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea
Corresponding Author: Sang-Won Park ,Tel: +82-2-870-2224, Fax: +82-2-870-3863, Email: hswon1@snu.ac.kr
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Cervical tuberculous lymphadenopathy is a common form of extrapulmonary tuberculosis (TB). Fine-needle aspiration is the first step in lymph node evaluation; excisional biopsy is an alternative tool. TB culture and drug sensitivity testing must feature in any initial evaluation. A 6-month short course of a four-drug combination of anti-TB medications is standard. Paradoxical aggravation of lymphadenopathy during and after treatment poses a diagnostic challenge. Although the condition usually resolves spontaneously, microbiological considerations are appropriate and an alternative diagnosis should be contemplated.
Keywords: Tuberculosis; Lymphadenopathy; Fine-needle aspiration; Diagnosis
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