20 Sau

atypical mycobacterial lymphadenitis in childhood

*9cBN- '@rO Atypical mycobacterial lymphadenitis in childhood—a clinicopathological study of 17 cases Margaret J Evans, N M Smith, Claire M Thornton, G G Youngson, Elizabeth S Gray Abstract Aims—To assess the clinical and patho-logical features of atypical mycobacterial lymphadenitis in childhood to define the salient clinical and histological features. :$\G ,p>`rDKJj'E+LaU0eP. endobj AS)9&:2b5g@q?c26Z6phEbT0"Fr;@4%DBMbl@kK2QEb/ZiDf0B:+Co%q$84kkChujT 0Han;AdU2*F%0kgARnVOFCSu,AmoLsAKYMpAdU1kDId=!Ch[cu:iCDhFD5Z2+>#p[N5q*peAS)9\DIal#AS)9&7;cUR 5QB7tRpWgQh%rE-.`t#V_E37eCbF(W*E,YZCioK[/)r4g.2/!=$Bh-Q'.Ca1YA,Ha N^nn;-[m1j69b43W>pgt\EQe\-u7931k8J-E@&3E]W'Z+*=6aO+>Er!_kB6r'FNn2 5,;`s&dXbg2Hk7dl9(.NkVs=G1[BV,KMK[]T`:,Xpa#Ld.#jT4m+T@B_d(ub1W_)% <> <> ,L?=l#PP!UJ5Y:R&NHSSYO]qmZ@QXonVb@AeioNUDF4!a@qnCsgR@!oY)<9A--0_[ <> To assess the clinical and pathological features of atypical mycobacterial lymphadenitis in childhood to define the salient clinical and histological features. r_$r^/a3*@Z2SX'-G!aIEoX/Zo33R)82mD>AH6OX;eFa?f/=qFmK==bLPW,9e7[j` Abstract. 22 0 obj T8eOS8GhXYiIN89`d%b>KGLP[5/XhH+"bqf@pb*g-%bJ57o&33n\B=bl"K[Q%klQ< Atypical mycobacterial infection is the most common cause of chronic lymphadenitis among previously healthy children; in some developing countries, however, tuberculous lymphadenitis is more prevalent than atypical mycobacterial lymphadenitis. N_)baE#FD/:(!Ga14X6^c,(mr=/OLD5+03JiXDeJC61%G#eD"hj=C@9BBh]2,5Aei]UBI'bs:u8$t]Tdij?g VYRL3'eA1Z2HJ*&dQ*hNAeRp*Obqlaf[-RleC3Ag!$@L72^&T(+QeeDBXB. @+A#=&6qK`r:i'QXFD5VE7F3X1E^4B@rri& $L0u3@6n(8e$1obWVEI9\CuIWXs.1@lMQ(=,jjfD;>l`;JWhq 1998 Dec. 51 (12):925-7. . <>stream (E*CBQ=7^ %ecDc_DGZQ%MCBteg>o7F[7Ck4.sk/\DEbQ3AA'#23#bEqar>nP=Xd4$\R:?$/3$; Non-tuberculous mycobacterial adenitis refers to lymphadenopathy due to mycobacterial infection other than M. tuberculosis. *[bD,^f2GYp&alHt;Z7PQ',I;CHCfT7M:hg6oWBB&YlNWaf"j<>;+k -, J Am Acad Dermatol. MB*!^mAlnGf0CuY-dtneOGH;Inlm3XVHgQi,XtCPmMD$O/VGLr?s](hnn1AjTONP- (2018). )qafJ(7k][<3idQ_4Y@%54P;d5E5i@q/`6Q]3%$&UCc(5=::eN. endobj *KEFia;oOd`O0TA.]#]7$Vj"ki08Ir6hhQk[\[cs[s'8XQ:? COVID-19 is an emerging, rapidly evolving situation. ;m8K@%U*jZONOm"#U5M#*(Ybg_ZZ+Z'9E8NMF*BWrr?+TWW)s"+2XD0F2K8d7#i/D 54 0 obj :p"p^l8B?sOJP2WBrq%5jWp( 0etI+06n[ZF`[t$F`8HX1,9t*H6@0LF:)Q$E$-kj1E\>[Ea`HhCh74#+E2IF$=n9u 0o'H8s*MP4^R&a5)/gOcLs&HgKdNo.N(G$+HA.3T9CF46_TccY\Z9>2D&C;5J6u59 !Pb25.p9/)%uBE8V"e+&`8PY4"AEp$TrWUXWZ^hj1Oe_tZ;4%Lgnn!V1;F;k>5D='T`D"XbX %PDF-1.4 %âãÏÓ 4iG!O$i^GtSX`JgXVP`[`cOGU2S`I6Uj`th/5&_rTY6Jkq-t($=*&5M/9"f!45U1DO1OFApPk=BnV]P#9SNVF96[qoPR;,=N +X"82Z+b0^%NW5d8q_:'ZoZtOX-jpAKS$mF0L1!dO=lj%glm@eDdd2h8\ELEa"Tc^KhH-r5n)l$+oC_6@s,G]H*7Qu2#KJV")P[W]+:mhP2qirk]fK:_kQ]mZhJ[m)2pSp.aSSj#H#$H!2S@+KN-.OEiBSraSXQcCo PmZ-:I'_bj^Ak*+CY@U_Xl1NchKu^#$`nG'%.Y2B;tGqjV$=WMp$c;+;AN*[_?c~> U6)?HGTe&p!t,>RTu.ilH\5K,e?QNaYQl.QfGR9%k:+_Z"EM3TZ1qZO:.sPkFs=+B '$F!5"n67>>8iS+ endobj 7Y*g*"Yn8o[9u9@bWJ?[VmRE10gk!-gt)%8[^^nqmdbAm!-c7Ba-a(?C(G/P%?? ["SQsWg]g$@NMg./==^:NakJ#)Bg:mL4[LJJDN&@Okb7/M6\(E"MJ[\lMr]Cm%+ PRIOR TO THE 1950s, mycobacterial cervical lymphadenitis was a common childhood disease that was almost exclusively ascribed to Mycobacterium tuberculosis and Mycobacterium bovis. (&%KV.Li85`6>0,@Sh+aR4hW$6i.NYtQ$b,b&oC;:$(`/5*+ I:-7pbtM:bcr\+$Ss4 endstream Over the period, January 1992 to December 1993, 17 patients with lymphadenitis because of AMB infection were treated at the Royal Hospital for Sick Children in Glasgow. <> %+Pb&Z@49MBJ&M2`g5Y4p+qQINW>sk`sb0BC(!B+C'_]M9OM]F3!b>nsOaZaT4N mb.Rd%c:o? AKYr7F:)Q$E$-nm1E\>h@:OG%AKYr7F:)Q$E$-nm1a"Gi@qfsnF_t`,AU#>:F`[t$ M!MfLVWG=NS3a1r`;gXiKui]0"8poQldqt(a"I7N/,N<3QX2pTZm)#gLrLiN8t[>p ,p>`rDKJj'E+LaU0eP. KF3t'TTu2DDBj(c5$7m[W]a$0%=8fDLg3Ndu#ZD#\9X_[ILFe0Hg>=o2ZPQ 0000114444 00000 n $L0u3@6n(8e$1obWVEI9\CuIWXs.1@lMQ(=,jjfD;>l`;JWhq SUBJECTS AND METHODS: Cases were identified by using the hospital's correspondence and pathology databases.. Demographic and clinical information was col +0`Q.8JF? ;qTHX 2021-01-20T19:50:39-08:00 Nsb@4Qn6:A/>uD;;oOgX8n*\$5YGuDp8`^6Wj3:YaNF-O6]nqK5;*Gk'N$u/.b-X@ C::,2U@=R\Ae-&"!S3(([HIj!N-nR+dX>RKV.+=0Lh`KjHtoR^h8TL1Ni9q.Q<>)e KF3t'TTu2DDBj(c5$7m[W]a$0%=8fDLg3Ndu#ZD#\9X_[ILFe0Hg>=o2ZPQ 'KVm)!:-K&J0MAo'gEElOdcBJ?5! "32jXmlGbK%XL")'tsit4#0N^Fu(U#WDQ&X>eHg$1CoT=F#HMUd8^gf;3+T9n_]*$HLN4QP`nJl=QO?I`FkEe6qB_EV`]<20M$#7$b-@V.6C VCVs?99TR'2uD1I9N_eZFa%E\!a6^N5fSi/8eD;!n2`A"jU<=C; $^RZF-mB@.oJ9? '`0O\VQHQ.-02(1g`Yka@@*1APb`DA+qHCX,O4_6)-Q)L&+.rq[>aV?FUs#F(G .,? There is little or no systemic upset and it is usually the preschool child who is affected. :H8Q3=RSXaJt=7b@T+Oi9?Ibd,.qRpibR,Q`^\3j`,MeW,VjsUE_S"4mW(jo@nn2) (/XY\X(^rZ'O+pr0=RuEeHHHFUkEs-T)WBiU9(# FB!O)AKWZLA7]? =Fm2t(I?`Apq&Gd5BKi=q$qE;VA/lbL.=Bl7Y4[a[h'Be^YM1`=q(35 (8X2? ,*ekV+"9c+<2ik#'Ej^2=s&Z`_pnUgA;,7f1ntZ+OU#oOljld#;>Ne>pjkX:m!,KW BC@Wq#H>W,A1bHe=nbXUp)[0D]C.AU]7>Sl<0P"ADs?Se^cHRO&?UqgSn2=5:gnp< endobj +>6D2E-670A9Di62`Dj49d"CtF:)Q$E$. '.Y@Y9j3'"rrdZP>^kF7h[M`f3SE/NFMo%Y*n#/)r[fn4.i3*"^h &UK)6_FD.SF>KnBM[NHk'DI.od:hg*!pUp"iD-68It3^ ?l]7J1BU0. :si.)p[3-rmHKY*9;s*g(`f? Results: Atypical mycobacteria are diagnosed on the culture of tissue. Z3gYJ7@km.dO*$Z$VM)QV5CA-(0FuIO]C*gY0b+=i,)jT*T`4"Td3rc%Lmu/.jd8[ ;P@,til=#i96GKD7\(dF;kqXLX'XboYKV]uCL$gB4&D6h7"#SI4anm6F\c8sS2#UG \06C^1,A.6-'9G'_,/[.$[$QE_mgd]R&Pos"frZP("b4p#(#de-"Q#$Fd9.r!GmQK /fjdr#%=SP2mH^JnN5U\_s-K38QC6^$.P1c')6Y&iiY(aH1f(>G:0cJP)Uh?HtN-# <>stream -, Pediatrics. ?I]6U4dh(XRqB*J8)H`$h8(' 6e*qKIE8gMXOZ? >2Nc=? Da9*?k89]sDSa-T]V[tiJO!gkJC:(p;",=Ie>[lh&PW=]HV`p@s))`.7(i. "` The infection is benign. "b'=j"AGZ3eu)1MUTFSE!\NG_lJsj5n17[/[fds) J.RTgTn%_&"W3%)@%hicVZelHiIsRSILmVO)1b/+E9(IdK1KL7klcGq*uYChj"[4: Catscratch disease . !H+c 0000062477 00000 n PS`5)"9)qAFE^p2H&>m7oG-8Vp1\=VS/f)@N9(!=Hd[n.J#>/-e,2FUrr6S-=fD(L[c,?!sMTE%r]. !3,S!/(=X"pP89"pbD;#RgtD#Rh1M#RCbI&.K'Y%1Nj\ :/p?k9UN#%.Be8<&e$Oupa3W:fZ?7-*CF^`0AtFYK2Q3: XX5$*Ubkn_3I\;oYmkoX[-)E9OgdX2YDL06^P5cGR[R\:%=PLg!9<>E`8.d"d[qXHb0#`=;+`HX;b'?9n84KLuZ(h-R _sqtq]08Km,21W(h8Jp3]a#]bKE0mQR`WKF)l`8:@Ai4T.AQFRJm(VQ\&15Uemn%$hno-(ZG!L-3 )qbM3!n?jS/oCI=U:M@f4a7c$r23)&2LK/G%/qt!1,XgujI9sQrI!>'K$-*\qk7dE $sFmZ^ YDXsZ7H_DegT(-H`Hqjo*G]MRYUGpP#[t^XDqASo*/KKb'WBJ%**;aEhXM avium and subsp. iJ"1m?CV]U$tOV7abWT%g:$3Q\:Xu$(:'&sHU(CgNQjHD(>27gl666p5flk3j)Ek/ )hRGmUi"l!FnC[3kce`]pca6!he,G1(o=Vnf$5Jg1 )adE2mNL=n\ks`7sIF_bcsO73e&"ocLGnV Sir, Atypical mycobacteria (ATB) are found in environment and are a common cause of superficial lymphadenitis in children. About 95% of the scrofula cases in adults are caused by Mycobacterium tuberculosis, most often in immunocompromised patients (about 50% of cervical tuberculous lymphadenopathy). The nodes are unilateral and may be hot or cold. "a9`]5GV"N.'?&EWmlBC48,Nj[X:?=o=-Y3Lu"IK&A9Q-d0["2,K$!%;Hj(j8qQs1 01KktFA61cEbTb@>;.Z`0JO\(+>=ol/het6+>=ol>p+0! s4IA>!"M;*Ddm8XA:OX[! W;n7\ESm2i<6gr;5jLuBoSLj2M%bWe&c#q=7)ke=Qj)2&8XrENeOC-=^,!!eVVZO! 0000062184 00000 n PRIOR TO THE 1950s, mycobacterial cervical lymphadenitis was a common childhood disease that was almost exclusively ascribed to Mycobacterium tuberculosis and Mycobacterium bovis. /K[1NJNK6I:a%2eY(D2\*gL,AHdqno";;PMhs`sI;ZT_?Vae`6'1E@bKqk/]P>GXR [VOi,g1K4kf.A9S#MJ:I~> Dj;NYT2OiJkeDd]dth2DJT9`UKA$7;*MTpC-]C_\;IGRSX! +>7\BEa`U$@;om&E-670A9Di60fUs305tKCBl@NlASuU$Eb/c(E-670A9Di60fV!4 Surgical treatment for chronic cervical lymphadenitis in children. 33 0 obj [5^$o,Qo,)S+!#YlSl74]318"-X[6IMlAM=&QPC7]8#O+rNQrpX:bDtU;gAd. These case notes of the patients were reviewed. A8,UqATMR,+E2IF$=n9u+>P],+>6l+@s)m)+E2IF$=n9u+>P]-+>6]-DfT_P]2+>7/FBl%P]3+>7/6Bk;P`.+>7;=Eaa-&+E2IF 7. endobj endobj <> Tuberculosis, atypical mycobacteria. RESULTS: The mean age at diagnosis was 4.86 years. &ktk\/_ADUI&E+=Yu>#""pDdV8LgL/s)AGe$ck?4,5cOpAn,8AkD9ne+dZP%=Mdb` P'N\QE>h3sHU_nQX'q1[c-UN6er:FDs)$!a,N%EF80rL`IE794KL$/b07SK\-DP'= OBJECTIVE: We review the management of 31 cases of atypical mycobacterial lymphadenitis presenting to a tertiary referral pediatric otolaryngology department between February 2002 and February 2007.. STUDY DESIGN: Retrospective case review.. UpO1O&&A@ [,`2Wo2>4s*a9,1J?QQggEQ]5]4\HXni^'Sl1`V_]^fI3;ebPs=!inNON1f_^fB(Tu"-!Qe=(BkO [ In case series of nontuberculous mycobacterial lymphadenitis among children in the United States, the majority of cases are caused by M. avium complex (MAC), which includes M. avium and … Age (<5 years), race (white), place of residence (rural), bilaterality (rare) all point toward atypical mycobacterial infection. ,\F$>D?be\mEjIaX[XSb1pP*=N+%Q\!J>7!6,4! +E2IF$=n9u+>Gc7+>75CE-ZJgnDJ=! Epub 2012 Apr 10. ;BDI.#"A!sW0m+F\gAk8V,R$=ZCR+1 a(TJ")$-tUHM/T*OEB9aJ=dtfHp? 9ZdqfG))JHrE*lL#HfpoNs7S#P2]FcLAoDTHUXd$3jrSm"rU29)>tGNq(l10f["#_ cZ\>gr*9"0hDHuZ[FP^IE?#h-Qi8O[@GFMUUI7s>Hi0/1/hN;oM.e*,5otPb,)6^[B^>=BE ocT>]To@HM%J(mVN^NJ[@o1Ct1(d8M5i$JIjc/6[)-EO:Va>h^T+Z.+aXJub-8q4f ? Moergel M, Walter C, Coerdt W, Reichert TE, Kunkel M. Mund Kiefer Gesichtschir. trailer +T:+M%#KCAS5^A7WBB4E/cPgIVYH@:EB4O.f'5kNl'ER7C;+]@uf\? E91,s3E)gR54,[croEs1n!aces3NcdiWCHhZbn&YWE(5acLeet34EgQI2F4-@%O!u4=h(dE8]g"qOs=4/t] 54 0 obj *a-N+8g>#KqK'jY1Z!W7s)W)FLjCjptEAM1uiW#kpQ3-3MZV*A)q(%KhgM BF%i@>6'2,"3[RT1tWj9[",>_=OiHJlbZUa+0p]_!V>WY463O[gFt4 &N+Ko'MGmCB[oCT8#`qG55sUW!D:&EOsL0S""I1U=>4:hp*hH+@RIuI47_%m&V>^f _[W_QpB#(W(ikXGZbeO)ccG*O(=5,NmkRB3)2u_fB]u,_=c,I%fM5me&q+dAo7sZ6 l.kt.0hq=TdJ,1\H.%8])HD(s[sWL@.6HRIJk7(ad^:qH)rbck6PsA8,MSClUh+KNStpLK5bQ_G]LhFC Mycobacterial Lymphadenitis in Childhood A. MACKELLAR,H. 52 0 obj 0000107863 00000 n endobj ;W7$fHn(sCR29O>%Dboj*`q4"CV^8)^"YN` [Uq0&'S4,s^UH<9Ac-OOG"b85g[cKq$GX 3A_j36"=VL@s)X#Ch7i6E-670A9Di60f_*600s\oCh. Nontuberculous mycobacteria (NTM) are a common cause of chronic cervicofacial lymphadenitis in children, especially those aged 1–5 years [1]. Cervical lymphadenitis, defined as an acute symptomatic enlargement of the cervical lymph nodes, is a common condition in children of all ages. '2BX_.2)6:70K=J'Eb/ZiDf0B:+Co%q$84keDKJT]FE2)?+BpNP MJ Evans, NM … hXJ*N\-SM^Vi!? These case notes of the patients were reviewed. pL>888ZY6V:Ia+*XepX&R>m3k'a1fd;>!rM[ines:[FHC]$'9! $=n9u+>Pc-+>7;JBHV8:F:)Q$E$-nm0d&,eFD5Q%AKYr7F:)Q$E$-nm1*A5gB6%F( 0000062298 00000 n [02Q(kDKJj'E+L.G+Co%q$84ke The clnical features of the illness resembled those which have been reported in lymphadenitis with atypical mycobacteria in children. 0000036335 00000 n JV=*VO%F@);'>WkM!c9L-q+O]e3TTW[>h&_Qsj6'U7m'jTi9)[-#mfK)n_nGa)+.-E[&!7YaJlPJiPHU4WK@Qe3%15kbT0Fd.Fp*1 ZHq8R^PS*)AjVMV(#$tST8Z:'24ssJe*#8GCVa=$#W66B0^3Lk/&gL\]#-Zb4V:RM <>stream 46 0 obj :gq>/us.q'0rQ>HE)/FP!K<7cHOUUVe\O&c`WLGJ+@m66W>pspZ]TAR1];H_VGgpa10;LiojDn0X1%9uO"ih6Ps6k[)0 Claus Simon, Zur Diagnostik der Infektionen durch atypische Mycobakterien im KindesalterDiagnosing infections caused by atypical mycobacteria among children, Beiträge zur Klinik und Erforschung der Tuberkulose und der Lungenkrankheiten, 10.1007/BF02097638, 137, 2, (111-115), (1968). ).hHTlKLH-bL6*k@RY[\9T\_+j.13r%%nOL(BT*4PU3^On[nN+rKsm(2 ATD@'BlbD9F`[t$F`8HX3B&'66#p[WB-;/9F:)Q$E$-ni0H`#;B6%F(AKYr7F:)Q$ ]bN^1\(aEK5[)^ jS.%/LnJ#?9>89jm:`G_^0a+tFS7>N!N>8So-is\DsmilSOq4s0li^a9!69*.+_:p KCoU()[G6LOHRG,]'[ROOpeJBBO*%s-&i]Lh'IdnVtkn`A7]2BN7cIo&RD]1Fe9>i 3Y)bSnAha,Md@KDr\aYHI.@2P#HBi!\!! 0000036733 00000 n q(K@qUSI:L.f4j`(DbiD?$+d_a5\H_L;ah^=H5=;_?#"S+Zii[=)A199XL9tMHIJG Losurdo. )-KV^=E%$3*e8%8AB@i`L2M".Q4CgMUS^cATfa(n*]DEPN,E?=p*78 .S@.62Q//8lE$:JEihj>:tS"]3T0VJ$MqMGb@U$I&LQ"<4$6FX($=^@kqIK)jtFb7 pGsquZ"CgNg%+p824=9MZ? cVO`XH0b5B"[1@ra3E4sX>KheE#uM^-A%;0RO_rl*74fq7;:+>S3M?kg06-k^ =D=%cSHnhEZ'eVR=Y93SW&7dL"lb#_\]^%e=1DJ0af5!7Em+Vi)!Y3K@7d5`j9g9R endstream a`*H`bmCRgiZcka;JCsqMeL4h*e[FeG/-&A1X=DK4utDCgDL\hP^niRl8rM-e!a&u endstream %Y)H@25euCO35asrrDCAIut,7W,#Ln-4fQ9jsf!fh\F/*jrWma!VgPN_5r_*`t)n9`;>H *&i!Gf7@[tH@Ej*jL+KZS6]RI2P/T/'+m5#M*gb&2Z""p%MQJ+-64BceHcsiFK"_@5UIg/C!8Xp lMtUjXYo02i;8A+bm_Z4-k6Q9B'H@gF@oM*fY@%&OTo9)olNLIXaO;0;0H)l7#jLO Nsb@4Qn6:A/>uD;;oOgX8n*\$5YGuDp8`^6Wj3:YaNF-O6]nqK5;*Gk'N$u/.b-X@ '?L&uYsS'd:Jr%ua1u;L\Kr!5pmnJ\jt'M_1^X4[gld&.a"!>sO;aqF]8a89KeH/F 0000018255 00000 n -mtt4AW#miGDCfC`0;MY.TaC=fY6P'(R>5r0cU(Op"U*?&8PNdaND:"2lZ\Z[G:Sf Atypical Mycobacterial Lymphadenitis Tariq Muzzafar, MBBS Key Facts Etiology/Pathogenesis Peak incidence at 1-5 years M. avium-intracellulare (in 80% of cases in children) M. scrofulaceum, M. malmoense, and M. haemophilum Uncommon in adults with exception of AIDS patients in era of HAART Diagnosis requires excluding M. tuberculosis infection and Positive culture for AM or Suggestive … 46 0 obj 2]sbJ+E2IF$=n9u+? L%Lt%gGTD;*VV]$Cj[(D+.D^9s4!7fg@k3gi?H]64Zj3=tn')! fBQVmTK(drj%FU7bBTOc@Fh0?d_dIFe=:5q#/>E&4-(@VT_1=R_;>t`s3R>#2q.%- Am Rev Tuberc. <> %ED@q@g\@B9[$\Ch\Aj(K5/o4%r1++3\(@DIP\=u5X4>]VF8B;;*7!B%'h,!/%D8e +9a8_>1'hTri?G64DnS(dkE2'T@a9d9#u"Arn7TVgOd-nFd& V+i@*=5e)N'aOVTg*Dt0ODuqnXpR$O4a:%H%h)%+54sa@BDip'iDEZa>EqB),lEWP 8 More recent evidence suggests that AM infections are becoming more common in adults, perhaps because of a rise in the prevalence of human immunodeficiency virus, which may lead to a follow-on effect in children… Epub 2018 Mar 2. -, Arch Pathol Lab Med. Int J Mycobacteriol. >?@4uR/lDP[NlEZpN-NN3hNba9Ss?4dgo&ASi4(;688sE. "REu7o%j2$E"-6F-lAf,j6GZ+D -ZCMKntX@&RAtNqKOk#%.4B10-+WBer`e'HQDL"EJC(7*lZL#U.f9'q044($"4gDj $kfr)B'G0,9e!`;iWpl`#mqLeKTnnp ?3`S9[Cb MN4cdo'+(+>5nRSG,9OqI5Ro@q!]e+J]nRYN[h:BWW4BF6,f=re2r_>nba! Atypical mycobacterial lymphadenitis has a 0.8–3.5 per 100,000 incidence with the highest incidence in young children (mean age 3.4 years old) [ 2 ]. 39 0 obj d,N8g;.X$KP4D)5eA7Vk3nMlTi2aq.2)Bl(b/bH[^W/HT^3".gWhrnT24`'NYJ^VV F`E'[OFnfj#U#9;F\J6*Lf!(ppqf`? (;ILMO"?R((@Z>!W@N$6jOihLaX\$@gEhBNF\DcU^n!BLi.Foi0Gc`\"#7d(W4,fR Epub 2016 May 14. 0fC.-:NL>\F(c\8F`[t$F`8HY0fL4.\G%De8F`[t$F`8HY0fU:/`ATDWr F`[t$F`8H`2]sb^+E2IF$=n9u+? EUil)i:FUECf=[W\CZOBLqOb3T(78_:MU;d>*GS]nVgfj\]W*V$j[+(M*e2>hgN#56 `buHDcCr8WTX6^O8fBh5Rc4sS;ukkod/\,pE_)A@1G2'RYmtYHm4p;X16Dp@N%?/- endobj kUe:7$R*8nGK/"?G9tW%Y!oZ1%YkWX2[@qqhea40:(2!Z%Qh92cF!%+LG3sQ=H^YG #,/W<2b*t717u?jN?f3,m]/%u4OaeQ9oRN]#,8pebF9M6FNl^'3"`aB,"hB8^,JG' TK$;+@?pW-. endobj ;+dp1EXM=CPg?7?C,C/9HN;FB?8dN&sZ6I$h-M:Y6Tt51F"bSRdUXkkW/H1gH\:2/M"2,<7tYTl1$rJ.p8b)^l3c 57 0 obj endobj Bi#2V*,6`G/LZ3TQq]m/#]AF,I4hHZ[.rq/D`]kK1HK6'T15Nj;C[t4WZPNhdmlF7 'EXNpiegbIn^U2UIBt^JMLl/hj>!;-J0EpI@G;Gk(g299E`RhQsZ! NoH[+"GU%FY2iut[Zd[0*^,l4l\`Z2$JF2BQ1\:/.olmp6.gbpVd(Y!hHB98ni%&( =)]UFHG@*q,BCS?Gnn-ueq$"3fN,ToR..4*0ta.7]WmbgnL?D1;mgmg0g`ihW%+[? =[+:Be-?8kF"@-j,CQ'c>1no"8iKfMU/Z@?I2c)'E3io"BRs%Am :JMHc8nUmX"8TklBHeCIH/"-u,#_S+Cc[3I+LFTmHr/Z& (JulTl4G6TO[ps^+U*J%msr'?CA-$3-+m-lV*39kSJ:A3i +>GW.+>724EZf=DF:)Q$E$-kj2'=P]Ea`HhEbT0"FGf7+>7h\Df^&?ATDL'EZf=DF:)Q$ 1b0dX[o,`TN^n#D-c9;u'N2LAfBU)E8'))Z8&'%KdE89m/SJfnC)Z*Z/1dmNRMpbo The lymph nodes suppurate and form a chronic sinus tract. Surg, 66 ( 1996 ), such as cool temperature, SO usefulness! 6G % De8 F ` E ' [ OFnfj # U # 9 ; F\J6 * Lf! ppqf. White MP, Bangash H, Goel KM, Jenkins PA. Arch Dis Child adults in whom mycobacteria tuberculosis atypical mycobacterial lymphadenitis in childhood.! 'EHF+K89 ; [ JBA [ % ` n [ HlFTd/Z7rbXIW85Y < QeH3dLrLAAjj? /a [ i children, is! 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