The aim was to determine the role of needle aspiration and surgical excision in the management of suppurative Bacillus Calmette Guerin (BCG) lymphadenitis. This prospective study was done in Rafha Central Hospital, over 1.5 years.
The serous discharge from the lesion continued, and the patient was subsequently referred to the respiratory team with a possible diagnosis of tuberculosis of the sinus tract/tuberculous lymphadenitis. Upon review, a small sinus in the anterior aspect of the neck with a healed thyroidectomy scar was found.
Tuberculosis commonly presents with lymphadenitis in the neck as extrapulmonary manifestation.3,4 Recomended standardized protocols for diagnosis of lymphoma include an access to all patients with cervical lymphadenopathy in a weekly neck lump clinic.5 FNAC of cervical lymph nodes carries a high diagnostic accuracy especially in malignancy.6
Granulomatous lymphadenitis may be associated with a number of infectious and noninfectious conditions including Hodgkin's lymphoma, non-Hodgkin lymphoma, Crohn's disease, sarcoidosis, tularemia, cat-scratch disease, Yersinia lymphadenitis, and tuberculosis (TB).
Recent studies have indicated that granulomatous lymphadenitis may precede the development of and follow the resolution of a wide range of malignancy [4, 5].
Depending on the mode of inoculation, the presentation may vary, from localized papule formation and tender lymphadenitis to flu-like symptoms, exudative pharyngitis and tonsillitis [4, 5].
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