Skin indurations in response to tuberculin testing in patients with nontuberculous mycobacterial lymphadenitis.
Mantoux results were examined for 29 children with culture-proven nontuberculous mycobacterial lymphadenitis, and 4 species were isolated: Mycobacterium avium-intracellulare complex (from 14 patients [48%]), Mycobacterium haemophilum (from 12 [41%]), Mycobacterium simiae (from 2 [7%]), and Mycobacterium scrofulaceum (from 1 [3%]); the median indurations for each species were 15.5 mm, 14.5 mm, 20 mm, and 23 mm, respectively, and in 17 cases (59%), they were > or =15 mm. In regions with a low incidence of tuberculosis, lymphadenitis thought to be due to nontuberculous mycobacteria should be managed as such, regardless of Mantoux results, thereby avoiding antituberculosis treatment.
Haimi-Cohen
Y
Y
Pediatric Day Care Unit, Schneider Children's Medical Center of Israel, Petah Tiqva, Israel. yhaimi@bezeqint.net
Zeharia
A
A
Mimouni
M
M
Soukhman
M
M
Amir
J
J
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003470:Culture Media; D005260:Female; D006801:Humans; D007223:Infant; D008199:Lymphadenitis / Q000175:diagnosis* / Q000382:microbiology*; D008297:Male; D009164:Mycobacterium Infections / Q000175:diagnosis* / Q000382:microbiology*; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis / Q000382:microbiology; D015269:Mycobacterium avium Complex / Q000302:isolation & purification; D018393:Mycobacterium haemophilum / Q000302:isolation & purification; D015359:Mycobacterium scrofulaceum / Q000302:isolation & purification; D012189:Retrospective Studies; D014374:Tuberculin Test / Q000379:methods / Q000592:standards
D003470:Culture Media