Table. Characteristics of 4 children with cervical lymphadenitis caused by Mycobacterium bohemicum, Austria, 2002–2006*.
Patient no. |
Sex; age |
Clinical findings |
Therapy |
Histologic findings |
---|---|---|---|---|
1 | M; 2 y, 10 mo | Right submandibular swelling | Incomplete surgical excision; clarithromycin and rifabutin for 3 mo | Granulomatous and partly necrotizing inflammation, multiple giant cells and perinodal fibrosis; no acid-fast bacilli |
2† | F; 2 y, 9 mo | Right submandibular swelling | Total lymph node excision | Granulomatous and partly necrotizing inflammation; acid-fast bacilli |
3 | F; 3 y | Angular right-sided swelling | Total lymph node excision | Granulomatous and partly necrotizing inflammation; sporadic findings of acid-fast bacilli |
4 | M; 3 y, 7 mo | Swelling in right mandibular area | Total lymph node excision | Granulomatous and partly necrotizing inflammation; no acid-fast bacilli |
*All patients had negative PCR results for Mycobacterium tuberculosis complex; all patients recovered completely with no relapse. †Patient had history of psychomotor disorder after perinatal asphyxia.