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Beware of Glandular Tuberculosis which is Marked with a Lump in the Neck

Tuberculosis or TB does not only occur in the lungs, but also in other parts of the body, one of which is lymph nodes. To avoid lymph node TBC, then consider the following explanation. Most TB cases do occur in the lungs. But infections caused by the bacterium Mycobacterium tuberculosis (MTB) can also attack other parts of the body. This condition, called extrapulmonary TB or extrapulmonary TB, can affect the lining of the brain, bones, kidneys, stomach cavity, lymph nodes, urinary tract, or other body parts including the skin and pleura. Statistically, extrapulmonary TB is experienced by about 50 percent of HIV sufferers who also have TB. Among these various types of extrapulmonary TB, lymphadenitis tuberculosis or glandular TB has the largest percentage among various types of extrapulmonary TB. TB gland can occur in various areas of the body, such as lymph nodes of the neck, armpits, and groin.

Beware of Lumps in the Neck

Among all the cases of glandular TB, the most cases occur in the neck called the scrofula. Scrofula itself is a TB infection in the lymph nodes in the neck which is generally transmitted when someone breathes in MTB-contaminated air. From the lungs, TB germs can move to the nearest lymph nodes, including lymph nodes in the neck. Epidemiologically, TB gland cases are still commonly found in developing countries with high rates of TB sufferers. This condition can affect adults, the elderly, and children, especially those who experience weakened immune systems. One of the hallmark signs of TB gland is the appearance of a lump in the neck or head. Usually these lumps will continue to enlarge over time and are painless. In addition, scrofula is usually accompanied by other symptoms, such as weight loss for no apparent reason, the body feels discomfort, fever, and night sweats.

Diagnosis and Treatment of Glandular TB

Diagnosis of this disease is generally done through a physical examination and tracing the history of the disease by a doctor. After suspected to suffer from glandular tuberculosis, the doctor will suggest a supporting examination in the form of a biopsy (tissue sampling) of the lump. One procedure is through a fine needle aspiration biopsy. To help the diagnosis, the doctor will also carry out a series of examinations which include chest X-ray, CT scan of the neck, blood tests, and examination of TB germ cultures. An examination to detect HIV may also be needed. Management of scrofula can be done by giving antituberculosis given for 6 months or even more. Antituberculosis drug (OAT) given is usually a combination of rifampicin, isoniazid, pyrazinamide, and ethambutol. In some cases, doctors can add or subtract drugs, as well as increase the duration of therapy for several months. Surgical steps may be taken if antibiotics cannot relieve glandular TB. With proper treatment, people with TB glands can recover fully. However, there are times when complications occur, such as the appearance of scarring and dry sores on the neck. This complication can be caused by the formation of fistulas and pus. To reduce the risk of TB glands becoming more severe, consult a doctor immediately, if there is swelling in the neck.

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