Hostname: page-component-78c5997874-m6dg7 Total loading time: 0 Render date: 2024-11-12T22:17:30.857Z Has data issue: false hasContentIssue false

Superficial tuberculous lymphadenitis in Merseyside: 1969–1984

Published online by Cambridge University Press:  19 October 2009

E. G. L. Wilkins
Affiliation:
Public Health Laboratory, Fazakerely Hospital, Lower Lane, Liverpool, L9 7AL
C. Roberts
Affiliation:
Public Health Laboratory, Fazakerely Hospital, Lower Lane, Liverpool, L9 7AL
Rights & Permissions [Opens in a new window]

Summary

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The actiology, epidemiology and clinical presentation of 137 bacteriologically confirmed cases of superficial mycobacterial lymphadenitis identified at the Liverpool Public Health Laboratory between 1969 and 1984 were reviewed. Despite a fall in pulmonary and total extrapulmonary isolates, the annual recovery of mycobacteria from lymph nodes remained relatively constant. Mycobacterium tuberculosis was the cause of infection in 121 patients (88·3%), M. bovis in 6 and the remaining 10 isolates were atypical mycobacteria. In European patients (68·6%) the highest incidence was in the elderly, whereas in non-Europeans (31·4%) the disease almost exclusively occurred in the third and fourth decades. The proportion of isolates from non-Europeans reflected the size of the immigrant population and increased during the period of study.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1985

References

REFERENCES

Bajan, A., Sykova, F., Grigelova, R. & Breza, J. (1965). Zur Frage der primaren Tuberkulose der Tonsillen und Adenoide. Prax Pneumologica 19, 633638.Google Scholar
Campbell, I. A. & Dyson, A. J. (1977). Lymph node tuberculosis: a comparison of various methods of treatment. Tubercle 58, 171179.CrossRefGoogle ScholarPubMed
Citron, K. M. (1973). Tuberculosis. British Medical Journal ii, 290298.Google Scholar
Collins, C. H. & Grange, J. M. (1983). The bovine tubercle bacillus: a review. Journal of Applied Bacteriology 55, 1329.CrossRefGoogle Scholar
Collins, C. H., Yates, M. D. & Grange, J. M. (1982). Subdivision of Mycobacterium tuberculosis into five variants for epidemiological purposes: methods and nomenclature. Journal of Hygiene 89, 235242.CrossRefGoogle ScholarPubMed
Crofton, J. (1954). Some problems in primary tuberculosis. British Medical Bulletin 10, 125129.CrossRefGoogle ScholarPubMed
Crofton, J. W. & Douglas, A. C. (1981). Respiratory Diseases, 3rd ed.Oxford: Blackwell.Google Scholar
Enarson, D., Ashley, M. J. & Grzybowski, S. (1979). Tuberculosis in immigrants to Canada: a study of present-day patterns in relation to immigration trends and birthplace. American Review of Respiratory Diseases 119, 1118.Google Scholar
Grange, J. M. (1980). Mycohacterial Diseases. In Current Topics in Infection Series. London: Edward Arnold.Google Scholar
Grange, J. M., Collins, C. & Yates, M. (1982). Bacteriological survey of tuberculous lymphadenitis in South-east England: 1973–80. Journal of Epidemiology and Community Health 36, 157161.CrossRefGoogle ScholarPubMed
Innes, J. A. (1981). Non-respiratory tuberculosis. Journal of the Royal College of Physicians of London 15, 227231.Google ScholarPubMed
Kent, D. C. (1967). Tuberculous lymphadenitis: not a localised disease. American Journal of Medical Science 254, 866874.CrossRefGoogle ScholarPubMed
Lai, K. K., Stottmeier, K. D., Sherman, I. H. & McCabe, W. R. (1984). Mycobacterial cervical lymphadenopathy. Relation of etiological agents to age. Journal of the American Medical Association 251, 12861288.CrossRefGoogle ScholarPubMed
Lethem, W. A. (1955). Milk borne tuberculosis 1921 to 1953. The Monthly Bulletin of the Ministry of Health of Great Britain 14, 144145.Google ScholarPubMed
Marks, J., Palfreyman, J. M., Yates, M. D. & Schaefer, W. B. (1977). A differential tuberculin test for mycobacterial infection in children. Tubercle 58, 1923.CrossRefGoogle ScholarPubMed
Marsden, H. B. & Hyde, W. A. (1962). Anonymous mycobacteria in cervical adenitis. Lancet i, 249250.CrossRefGoogle Scholar
Medical Research Council Tuberculosis and Chest Disease Unit (1982). The geographical distribution of tuberculosis notifications in a national survey of England and Wales (1978–79). Tubercle 63, 7588.CrossRefGoogle Scholar
Meissner, G. (1966). Problemas bacteriologicos y epidemiologicos de la infeccion del ser humano con el microbacterio bovino. Revista Chilena de Pediatria 37, 397404.Google Scholar
Miller, F. J. W. & Cashman, J. M. (1955). The natural history of peripheral tuberculous lymphadenitis associated with a visible primary focus. Lancet ii, 12861289.CrossRefGoogle Scholar
Monie, R. D. H., Hunter, A. M., Rocchiccioli, K. M. S., White, J. P., Campbell, I. A. & Kilpatrick, G. S. (1982). Management of extra-pulmonary tuberculosis (excluding miliary and meningeal) in south and west Wales (1976–8). British Medical Journal 285, 415418.CrossRefGoogle ScholarPubMed
Newcombe, J. F. (1971). Tuberculous cervical lymphadenopathy. Postgraduate Medical Journal 47, 713717.CrossRefGoogle ScholarPubMed
Office of Population Censuses and Surveys (1983). Census 1981. National report. Great Britain, part 1. London: Her Majesty's Stationery Office.Google Scholar
Priel, I. & Doler, E. (1982). Tuberculous lymphadenitis: a survey of 94 cases. Journal of Infectious Diseases 146, 710.CrossRefGoogle ScholarPubMed
Report from the Medical Research Council Tuberculosis and Chest Diseases Unit (1980). National survey of tuberculosis notifications in England and Wales 1978–9. British Medical Journal 281, 895898.CrossRefGoogle Scholar
Report to the Medical Research Council (1949). Non-pulmonary tuberculosis in England and in Wales. Journal of Hygiene 47, 337359.Google Scholar
Report from the Public Health Laboratory Service (1976). Mycobacterial lymphadenitis. British Medical Journal i, 658.Google Scholar
Summers, G. D. & McNicol, M. W. (1980). Tuberculosis of superficial lymph nodes. British Journal of Diseases of the Chest 74, 300373.CrossRefGoogle ScholarPubMed
Wilesmith, J. W. (1983). Epidemiological feature of bovine tuberculosis in cattle herds in Great Britain. Journal of Hygiene 90, 159176.CrossRefGoogle ScholarPubMed
Wolinsky, E. (1979). State of the art: nontuberculous mycobacteria and associated diseases. American Review of Respiratory Diseases 119, 107159.Google Scholar
Zeller, F. (1964). Uber Beziehungen des Sitzes der peripheren Lymphknotentuberkulose zur Infektion mit humanen und bovinen keimen. Prax Pneumologica 18, 223233.Google Scholar