Clinical Case Presentation - Duke Pediatrics Intranet

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<strong>Clinical</strong> Manifestations• Subacute or chroniclymphadenitis• Painless (cervical)lymph node swelling• Pink or violaceousdiscoloration• May develop a drainingsinus tract
<strong>Clinical</strong> ManifestationsAtypical MCAM. tuberculosisAge 1-6 years >4 yearsRace White Black, AsianExposure to TB Absent PresentAbnormal CXR Rare OftenResidence Suburban, Rural UrbanPPD > 15mm Uncommon OftenBilateralinvolvement Rare Not uncommonAdapted from Baker and Kealy. Cervical lymphadenopathy in Feign etal. Textbook of Pediatric Infectious Diseases 2004. p. 187
Page 6 and 7: Your thoughts on the differential?H
Page 8 and 9: 1 yo with left cheek swelling
Page 11 and 12: How has your differential changed?W
Page 13 and 14: 1 yo with left cheek swelling• EB
Page 15: Non-Tuberculous Lymphadenitis
Page 19 and 20: Diagnostic Workup - PPDLineboom et
Page 21 and 22: TreatmentBerger et al. 1996. J. Ped
Page 23 and 24: TreatmentSurgical Excision 48/50 [9
Page 25: Conclusions•PPD useful in areas w

Clinical Case Presentation - Duke Pediatrics Intranet

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