Scrofula

Alternative Names:
Tuberculous adenitis

Symptoms:
  • painless swelling of cervical (neck) lymph nodes
  • ulceration is rare today
  • lymph nodes may be enlarged elsewhere
  • fevers, chills, sweats, and weight loss can occur in 20% of individuals


Signs and tests:
  • histology (examination under a microscope) shows granulomas
  • special stains (such as AFB of the material) may be positive
  • Mycobacteriumtuberculosis and other mycobacteria can be cultured from lymph node specimens
  • TB tine or PPD tests are usually positive
  • Chest X-rays can be abnormal due to old tuberculosis infection or simultaneous pulmonary tuberculosis



Review Date: 8/7/2002
Reviewed By: Camille Kotton, M.D., Infectious Diseases Division, Massachusetts General Hospital and Brigham and Women's Hospital, Boston, MA. Review provided by VeriMed Healthcare Network.

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