Skin indurations in response to tuberculin testing in patients with nontuberculous mycobacterial lymphadenitis.

Abstract

Mantoux results were examined for 29 children with culture-proven nontuberculous mycobacterial lymphadenitis, and 4 species were isolated: Mycobacterium avium-intracellulare complex (from 14 patients [48%]), Mycobacterium haemophilum (from 12 [41%]), Mycobacterium simiae (from 2 [7%]), and Mycobacterium scrofulaceum (from 1 [3%]); the median indurations for each species were 15.5 mm, 14.5 mm, 20 mm, and 23 mm, respectively, and in 17 cases (59%), they were > or =15 mm. In regions with a low incidence of tuberculosis, lymphadenitis thought to be due to nontuberculous mycobacteria should be managed as such, regardless of Mantoux results, thereby avoiding antituberculosis treatment.

• Authors: Y Haimi-Cohen, A Zeharia, M Mimouni, M Soukhman, J Amir
• Journal: Clinical infectious diseases : an official publication of the Infectious Diseases Society of America (Clin Infect Dis) Vol. 33 Issue 10 Pg. 1786-8 (Nov 15 2001) ISSN: 1058-4838 [Print] United States
• PMID: 11595991 (Publication Type: Journal Article)

Chemical References

• Culture Media

Topics

• Adolescent
• Adult
• Child
• Child, Preschool
• Culture Media
• Female
• Humans
• Infant
• Lymphadenitis (diagnosis, microbiology)
• Male
• Mycobacterium Infections (diagnosis, microbiology)
• Mycobacterium Infections, Nontuberculous (diagnosis, microbiology)
• Mycobacterium avium Complex (isolation & purification)
• Mycobacterium haemophilum (isolation & purification)
• Mycobacterium scrofulaceum (isolation & purification)
• Retrospective Studies
• Tuberculin Test (methods, standards)