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Clinical Pediatrics
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Nontuberculous Mycobacterial Cervical Adenitis

Dana L. Suskind, MD

Steven D. Handler, MD

Lawrence W. C. Tom, MD

William P. Potsic, MD

Ralph F. Wetmore, MD

Division of Otolaryngology, The Children's Hospital of Philadelphia and the Department of Otorhinolaryngology, Head and Neck Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA

Granulomatous inflammation is a common finding in pathologic evaluation of surgically excised chronic lymphadenopathy in children. Confusion exists regarding diagnosis and management of these lesions. Over a 10-year period at The Children's Hospital of Philadelphia, a total of 81 children were identified with biopsy-confirmed granulomatous lesions of the head and neck, with nontuberculous mycobacteria (NTM) accounting for 67 of the cases. The typical presentation was that of a nontender mass in the cervicofacial area present for weeks to months, unresponsive to antimicrobials. All underwent surgical excision, which was curative in 54 patients; 13 children required additional procedures. This paper reviews NTM, its typical clinical presentation, difficulty in diagnosis, and the methods of treatment.

Clinical Pediatrics, Vol. 36, No. 7, 403-409 (1997)
DOI: 10.1177/000992289703600705
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