DOI: 10.36347/sjams.2023.v11i08.016

Pages: 1474-1479

Introduction: Tuberculous cervical lymphadenitis, also known as scrofula, is a common manifestation of extra pulmonary tuberculosis. It primarily affects the lymph nodes in the neck region and is caused by Mycobacterium tuberculosis. TCL presents with distinct clinical features and a characteristic pattern of lymph node involvement. This short overview aims to analyze the pattern of lymph node involvement and clinical presentations of TCL to improve diagnostic accuracy and patient care. Aim of the study: The aimed to analyze the pattern of lymph node involvement and clinical presentations of TCL. Methods: This prospective observational study was conducted at the Dhaka Medical College Hospital, Dhaka, Bangladesh, over a period of four years. A total of 189 TCL patients were included in the study, with data collected on socio-demographic characteristics, clinical presentations, neck swelling-related characteristics, and various laboratory findings. Result: The majority of the participants were between the ages of 15-30 years (71.43%) and were predominantly female (68.25%). Fever was the most common clinical presentation (66.67%), followed by abscess (49.21%) and cough (30.16%). Unilateral neck swelling on the right side was the most prevalent (41.27%). Swollen nodes were frequently observed, primarily at node levels II, III, IV, V, and VI. High ESR (58.73%) and positive CGD on FNAC (100%) were common laboratory findings. Gene-Xpert testing showed positive results in 87.50% of cases. During the follow-up period, fever, neck pain, and neck swelling gradually decreased, while new abscess occurrences decreased over time. Surgery was performed on 4.23% of participants with single-level swollen nodes and 19.10% with multi-level swollen nodes after 1 year. Conclusion: In summary, this study on tuberculous lymphadenitis (TCL) identified consistent patterns in lymph node involvement and clinical presentations. Fever, abscess formation, and cough were common symptoms, .......