A Case of Cervical Tuberculous Lymphadenitis with Pregnancy

Accession number;04A0108715
Title;A Case of Cervical Tuberculous Lymphadenitis with Pregnancy
Author; KATO TAKASHI (Suita Municipal Hospital, JPN) NISHIIKE SUETAKA (Suita Municipal Hospital, JPN) NAGAI MIKI (Suita Municipal Hospital, JPN) KONISHI MASAKI (Suita Municipal Hospital, JPN) SAKATA YOSHIHARU (Suita Municipal Hospital, JPN)
Journal Title;Practica Otologica (Kyoto)
Journal Code:G0710A
ISSN:0032-6313
VOL.97;NO.2;PAGE.173-178(2004)
Figure&Table&Reference;FIG.4, TBL.2, REF.25
Pub. Country;Japan
Language;Japanese
Abstract;Tuberculosis in Japan has increased recently. Cervical tuberculous lymphadenitis is an extrapulmonary tuberculosis. We report a case of a 29-year-old woman who was 28 weeks pregnant, with cervical tuberculous lymphadenitis, which was diagnosed by tuberculin reaction and polymerase chain reaction test (PCR test) after delivery. The patient was treated with rifampicin (RFP), isoniazid (INH) and levofloxacin (LVFX) as antituberculous chemotherapy for a year, and was treated with INH and LVFX for the next half-year. The baby was treated with bacillus Calmette-Guerin vaccine (BCG vaccine) instead of antituberculous chemotherapy. The patient and the baby were making satisfactory progress. Although antituberculous chemotherapy should be done immediately when a pregnant woman is diagnosed with pulmonary tuberculosis, it should not be done immediately when the pregnant woman has cervical tuberculous lymphadenitis. (author abst.)