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KMID : 0882420150880030262
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Korean Journal of Medicine
2015 Volume.88 No. 3 p.262 ~ p.266
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Tuberculous Lymphadenopathy
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Park Sang-Won
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Abstract
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Cervical tuberculous lymphadenopathy is a common form of extrapulmonary tuberculosis (TB). Fine-needle aspiration is the first step in lymph node evaluation; excisional biopsy is an alternative tool. TB culture and drug sensitivity testing must feature in any initial evaluation. A 6-month short course of a four-drug combination of anti-TB medications is standard. Paradoxical aggravation of lymphadenopathy during and after treatment poses a diagnostic challenge. Although the condition usually resolves spontaneously, microbiological considerations are appropriate and an alternative diagnosis should be contemplated.
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KEYWORD
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Tuberculosis, Lymphadenopathy, Fine-needle aspiration, Diagnosis
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