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Volume 14, Number 7—July 2008

Letter

Mycobacterium bohemicum and Cervical Lymphadenitis in Children

Julia Huber*Comments to Author , Elvira Richter†, Lothar Binder‡, Matthias Maa§, Robert Eberl*, and Werner Zenz*
Author affiliations: *Medical University of Graz, Graz, Austria; †National Reference Center for Mycobacteria, Borstel, Germany; ‡Elisabethinen Hospital, Linz, Austria; §University Hospital Salzburg, Salzburg, Austria;

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Table

Characteristics of 4 children with cervical lymphadenitis caused by Mycobacterium bohemicum, Austria, 2002–2006*

Patient no.
Sex; age
Clinical findings
Therapy
Histologic findings
1 M; 2 y, 10 mo Right submandibular swelling Incomplete surgical excision; clarithromycin and rifabutin for 3 mo Granulomatous and partly necrotizing inflammation, multiple giant cells and perinodal fibrosis; no acid-fast bacilli
2† F; 2 y, 9 mo Right submandibular swelling Total lymph node excision Granulomatous and partly necrotizing inflammation; acid-fast bacilli
3 F; 3 y Angular right-sided swelling Total lymph node excision Granulomatous and partly necrotizing inflammation; sporadic findings of acid-fast bacilli
4 M; 3 y, 7 mo Swelling in right mandibular area Total lymph node excision Granulomatous and partly necrotizing inflammation; no acid-fast bacilli

*All patients had negative PCR results for Mycobacterium tuberculosis complex; all patients recovered completely with no relapse.
†Patient had history of psychomotor disorder after perinatal asphyxia.

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