Lymphadenitis caused by nontuberculous mycobacteriae
Salo, E.; Renko, M.; Koivunen, P.; Heiskanen-Kosma, T.; Mertsola, J.; Nokso-koivisto, J.; Korppi, M.
Duodecim; Laaketieteellinen Aikakauskirja 127(10): 979-986
2011
ISSN/ISBN: 0012-7183 PMID: 21695996 Document Number: 650686
Lymphadenitis caused by nontuberculous mycobacteriae has been increasingly seen in Finland since the cessation of universal BCG vaccination in 2006. An otherwise healthy child develops a slowly growing unilateral mass in the cervicofacial region. Without treatment, the lymphadenitis suppurates and forms a draining sinus, which dries after some weeks or months, leaving a scar. Surgical excision is curative treatment but cannot always be performed because of risk to the facial nerve or need of extensive surgery. In these cases, observation without antimicrobial treatment is usually recommended. The parents need professional information and support.