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  • Title: Nontuberculous mycobacterial cervical adenitis.
    Author: Suskind DL, Handler SD, Tom LW, Potsic WP, Wetmore RF.
    Journal: Clin Pediatr (Phila); 1997 Jul; 36(7):403-9. PubMed ID: 9241478.
    Abstract:
    Granulomatous inflammation is a common finding in pathologic evaluation of surgically excised chronic lymphadenopathy in children. Confusion exists regarding diagnosis and management of these lesions. Over a 10-year period at The Children's Hospital of Philadelphia, a total of 81 children were identified with biopsy-confirmed granulomatous lesions of the head and neck, with nontuberculous mycobacteria (NTM) accounting for 67 of the cases. The typical presentation was that of a nontender mass in the cervicofacial area present for weeks to months, unresponsive to antimicrobials. All underwent surgical excision, which was curative in 54 patients; 13 children required additional procedures. This paper reviews NTM, its typical clinical presentation, difficulty in diagnosis, and the methods of treatment.
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