The value of wide-needle aspiration in the diagnosis of tuberculous lymphadenitis in Africa
To evaluate wide-needle (19-gauge) aspiration in the diagnosis of tuberculous lymphadenitis. Department of Surgery, University Teaching Hospital, Lusaka, Zambia. Three hundred and four patients presenting to one surgeon for diagnostic surgical biopsy of a peripheral lymph node during 1989-1990. Pros...
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| Veröffentlicht in: | AIDS (London) 1993-09, Vol.7 (9), p.1221-1225 |
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| container_title | AIDS (London) |
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| creator | BEM, C PATIL, P. S ELLIOTT, A. M NAMAAMBO, K. M HOSHANG BHARUCHA PORTER, J. D. H |
| description | To evaluate wide-needle (19-gauge) aspiration in the diagnosis of tuberculous lymphadenitis.
Department of Surgery, University Teaching Hospital, Lusaka, Zambia.
Three hundred and four patients presenting to one surgeon for diagnostic surgical biopsy of a peripheral lymph node during 1989-1990.
Prospective study in which wide-needle aspiration routinely preceded open surgical biopsy.
Histology and mycobacterial culture of the surgically biopsied lymph node; HIV-1 serology; successful aspiration of material, naked-eye appearance of aspirate, presence of acid-fast bacilli and/or microscopic caseation in the aspirate.
One hundred and eighty-eight out of 304 (61.8%) patients had histologically and/or culture-proven tuberculous lymphadenitis, of whom 155 out of 183 (84.7%) tested HIV-1-seropositive. Material was successfully aspirated from 180 out of 188 (95.7%) of patients with proven tuberculous lymphadenitis. Macroscopic caseation, diagnosable on naked-eye examination alone of the aspirate, was present in 49 out of 120 (40.8%) consecutive aspirates from tuberculous nodes. Acid-fast bacilli and/or microscopic caseation were seen in 116 out of 155 (74.8%) aspirates from tuberculous nodes for which smears stained both by Ziehl-Nielsen and haematoxylin & eosin were available.
It is recommended that all patients with suspected tuberculous lymphadenitis in Africa, undergo wide-needle aspiration before surgical biopsy or empirical treatment. |
| doi_str_mv | 10.1097/00002030-199309000-00011 |
| format | Article |
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Department of Surgery, University Teaching Hospital, Lusaka, Zambia.
Three hundred and four patients presenting to one surgeon for diagnostic surgical biopsy of a peripheral lymph node during 1989-1990.
Prospective study in which wide-needle aspiration routinely preceded open surgical biopsy.
Histology and mycobacterial culture of the surgically biopsied lymph node; HIV-1 serology; successful aspiration of material, naked-eye appearance of aspirate, presence of acid-fast bacilli and/or microscopic caseation in the aspirate.
One hundred and eighty-eight out of 304 (61.8%) patients had histologically and/or culture-proven tuberculous lymphadenitis, of whom 155 out of 183 (84.7%) tested HIV-1-seropositive. Material was successfully aspirated from 180 out of 188 (95.7%) of patients with proven tuberculous lymphadenitis. Macroscopic caseation, diagnosable on naked-eye examination alone of the aspirate, was present in 49 out of 120 (40.8%) consecutive aspirates from tuberculous nodes. Acid-fast bacilli and/or microscopic caseation were seen in 116 out of 155 (74.8%) aspirates from tuberculous nodes for which smears stained both by Ziehl-Nielsen and haematoxylin & eosin were available.
It is recommended that all patients with suspected tuberculous lymphadenitis in Africa, undergo wide-needle aspiration before surgical biopsy or empirical treatment.</description><identifier>ISSN: 0269-9370</identifier><identifier>EISSN: 1473-5571</identifier><identifier>DOI: 10.1097/00002030-199309000-00011</identifier><identifier>PMID: 8216979</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adolescent ; Adult ; Aged ; AIDS/HIV ; Bacterial adenopathies ; Bacterial diseases ; Biological and medical sciences ; Biopsy, Needle - instrumentation ; Child ; Child, Preschool ; Evaluation Studies as Topic ; Female ; Human bacterial diseases ; Humans ; Infectious diseases ; Male ; Medical sciences ; Middle Aged ; Needles ; Population ; Prospective Studies ; Tuberculosis, Lymph Node - diagnosis ; Tuberculosis, Lymph Node - epidemiology ; Tuberculosis, Lymph Node - pathology ; Zambia - epidemiology</subject><ispartof>AIDS (London), 1993-09, Vol.7 (9), p.1221-1225</ispartof><rights>1993 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c339t-6c6a6f46afbd7aaba1b299fc264c25dc31e189793bd9329098fa36c6ea7ee2e13</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4887997$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8216979$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BEM, C</creatorcontrib><creatorcontrib>PATIL, P. S</creatorcontrib><creatorcontrib>ELLIOTT, A. M</creatorcontrib><creatorcontrib>NAMAAMBO, K. M</creatorcontrib><creatorcontrib>HOSHANG BHARUCHA</creatorcontrib><creatorcontrib>PORTER, J. D. H</creatorcontrib><title>The value of wide-needle aspiration in the diagnosis of tuberculous lymphadenitis in Africa</title><title>AIDS (London)</title><addtitle>AIDS</addtitle><description>To evaluate wide-needle (19-gauge) aspiration in the diagnosis of tuberculous lymphadenitis.
Department of Surgery, University Teaching Hospital, Lusaka, Zambia.
Three hundred and four patients presenting to one surgeon for diagnostic surgical biopsy of a peripheral lymph node during 1989-1990.
Prospective study in which wide-needle aspiration routinely preceded open surgical biopsy.
Histology and mycobacterial culture of the surgically biopsied lymph node; HIV-1 serology; successful aspiration of material, naked-eye appearance of aspirate, presence of acid-fast bacilli and/or microscopic caseation in the aspirate.
One hundred and eighty-eight out of 304 (61.8%) patients had histologically and/or culture-proven tuberculous lymphadenitis, of whom 155 out of 183 (84.7%) tested HIV-1-seropositive. Material was successfully aspirated from 180 out of 188 (95.7%) of patients with proven tuberculous lymphadenitis. Macroscopic caseation, diagnosable on naked-eye examination alone of the aspirate, was present in 49 out of 120 (40.8%) consecutive aspirates from tuberculous nodes. Acid-fast bacilli and/or microscopic caseation were seen in 116 out of 155 (74.8%) aspirates from tuberculous nodes for which smears stained both by Ziehl-Nielsen and haematoxylin & eosin were available.
It is recommended that all patients with suspected tuberculous lymphadenitis in Africa, undergo wide-needle aspiration before surgical biopsy or empirical treatment.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>AIDS/HIV</subject><subject>Bacterial adenopathies</subject><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Biopsy, Needle - instrumentation</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Evaluation Studies as Topic</subject><subject>Female</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Needles</subject><subject>Population</subject><subject>Prospective Studies</subject><subject>Tuberculosis, Lymph Node - diagnosis</subject><subject>Tuberculosis, Lymph Node - epidemiology</subject><subject>Tuberculosis, Lymph Node - pathology</subject><subject>Zambia - epidemiology</subject><issn>0269-9370</issn><issn>1473-5571</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kF1LwzAUhoMoc05_gtAL8a6aNG2TXI7hFwy8mVdelNP0xEX6ZdIq-_dmri4QQnifNzk8hESM3jGqxD0NK6GcxkwpTlW4xWEzdkLmLBU8zjLBTsmcJrmKFRf0nFx4_xmQjEo5IzOZsFwJNSfvmy1G31CPGHUm-rEVxi1iVWMEvrcOBtu1kW2jIWCVhY-289bv0WEs0emx7kYf1bum30KFrR1CGOilcVbDJTkzUHu8ms4FeXt82Kye4_Xr08tquY4152qIc51DbtIcTFkJgBJYmShldJKnOskqzRkyGYblZaV4oqiSBngoIQjEBBlfkNvDu73rvkb0Q9FYr7GuocUwXiFyyqQQaQDlAdSu896hKXpnG3C7gtFi77X491ocvRZ_XkP1evpjLBusjsVJZMhvphy8hto4aLX1RyyVUigl-C9dA4ER</recordid><startdate>19930901</startdate><enddate>19930901</enddate><creator>BEM, C</creator><creator>PATIL, P. S</creator><creator>ELLIOTT, A. M</creator><creator>NAMAAMBO, K. M</creator><creator>HOSHANG BHARUCHA</creator><creator>PORTER, J. D. H</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19930901</creationdate><title>The value of wide-needle aspiration in the diagnosis of tuberculous lymphadenitis in Africa</title><author>BEM, C ; PATIL, P. S ; ELLIOTT, A. M ; NAMAAMBO, K. M ; HOSHANG BHARUCHA ; PORTER, J. D. 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S</creatorcontrib><creatorcontrib>ELLIOTT, A. M</creatorcontrib><creatorcontrib>NAMAAMBO, K. M</creatorcontrib><creatorcontrib>HOSHANG BHARUCHA</creatorcontrib><creatorcontrib>PORTER, J. D. H</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>AIDS (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BEM, C</au><au>PATIL, P. S</au><au>ELLIOTT, A. M</au><au>NAMAAMBO, K. M</au><au>HOSHANG BHARUCHA</au><au>PORTER, J. D. H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The value of wide-needle aspiration in the diagnosis of tuberculous lymphadenitis in Africa</atitle><jtitle>AIDS (London)</jtitle><addtitle>AIDS</addtitle><date>1993-09-01</date><risdate>1993</risdate><volume>7</volume><issue>9</issue><spage>1221</spage><epage>1225</epage><pages>1221-1225</pages><issn>0269-9370</issn><eissn>1473-5571</eissn><abstract>To evaluate wide-needle (19-gauge) aspiration in the diagnosis of tuberculous lymphadenitis.
Department of Surgery, University Teaching Hospital, Lusaka, Zambia.
Three hundred and four patients presenting to one surgeon for diagnostic surgical biopsy of a peripheral lymph node during 1989-1990.
Prospective study in which wide-needle aspiration routinely preceded open surgical biopsy.
Histology and mycobacterial culture of the surgically biopsied lymph node; HIV-1 serology; successful aspiration of material, naked-eye appearance of aspirate, presence of acid-fast bacilli and/or microscopic caseation in the aspirate.
One hundred and eighty-eight out of 304 (61.8%) patients had histologically and/or culture-proven tuberculous lymphadenitis, of whom 155 out of 183 (84.7%) tested HIV-1-seropositive. Material was successfully aspirated from 180 out of 188 (95.7%) of patients with proven tuberculous lymphadenitis. Macroscopic caseation, diagnosable on naked-eye examination alone of the aspirate, was present in 49 out of 120 (40.8%) consecutive aspirates from tuberculous nodes. Acid-fast bacilli and/or microscopic caseation were seen in 116 out of 155 (74.8%) aspirates from tuberculous nodes for which smears stained both by Ziehl-Nielsen and haematoxylin & eosin were available.
It is recommended that all patients with suspected tuberculous lymphadenitis in Africa, undergo wide-needle aspiration before surgical biopsy or empirical treatment.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>8216979</pmid><doi>10.1097/00002030-199309000-00011</doi><tpages>5</tpages></addata></record> |
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| ispartof | AIDS (London), 1993-09, Vol.7 (9), p.1221-1225 |
| issn | 0269-9370 1473-5571 |
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| source | Journals@Ovid Ovid Autoload; MEDLINE |
| subjects | Adolescent Adult Aged AIDS/HIV Bacterial adenopathies Bacterial diseases Biological and medical sciences Biopsy, Needle - instrumentation Child Child, Preschool Evaluation Studies as Topic Female Human bacterial diseases Humans Infectious diseases Male Medical sciences Middle Aged Needles Population Prospective Studies Tuberculosis, Lymph Node - diagnosis Tuberculosis, Lymph Node - epidemiology Tuberculosis, Lymph Node - pathology Zambia - epidemiology |
| title | The value of wide-needle aspiration in the diagnosis of tuberculous lymphadenitis in Africa |
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