title: [Management of atypical cervical mycobacteriosis in childhood].
abstract: Atypical mycobacteriosis is a rare cause of cervical lymphadenitis that most frequently affects immunoincompetent children between the ages of 12 months and 5 years. The typical clinical manifestation is a painless unilateral cervical mass. The nonspecific clinical symptoms and laboratory parameters complicate diagnosis and, therefore, therapeutic management. Various therapeutic options, including surgery, antimycobacterial drug therapy and wait-and-scan approaches are discussed in the literature. Complete surgical excision has become the established treatment of choice. However, controlled randomized studies that clearly demonstrate the benefits of a particular type of therapy are lacking.
authors.affiliation: Klinik und Poliklinik für Hals-Nasen-Ohren-Heilkunde/-Chirurgie, Universitätsklinikum Bonn, Bonn, Deutschland, tobias.vanbremen@ukb.uni-bonn.de.
authors.forename: T
authors.initials: T
authors.lastname: van Bremen
authors.forename: E
authors.initials: E
authors.lastname: Biesinger
authors.forename: F
authors.initials: F
authors.lastname: Göke
authors.forename: S
authors.initials: S
authors.lastname: Keiner
authors.forename: F
authors.initials: F
authors.lastname: Bootz
authors.forename: A
authors.initials: A
authors.lastname: Schröck
mesh_terms: D000995:Antitubercular Agents / Q000627:therapeutic use*; D002675:Child, Preschool; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007223:Infant; D008197:Lymph Node Excision / Q000379:methods*; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D009333:Neck / Q000473:pathology; D012307:Risk Factors; D014388:Tuberculosis, Lymph Node / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy*
chemical_list: D000995:Antitubercular Agents