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Volume 14, Number 9—September 2008

Dispatch

Mycobacterium haemophilum and Lymphadenitis in Immunocompetent Children, Israel

Yishai Haimi CohenComments to Author , Jacob Amir, Shai Ashkenazi, Tal Eidlitz-Markus, Zmira Samra, Lea Kaufmann, and Avraham Zeharia
Author affiliations: Schneider Children’s Medical Center of Israel, Petah Tiqwa, Israel (Y. Haimi Cohen, J. Amir, S. Ashkenazi, T. Eidlitz-Markus, A. Zeharia); Rabin Medical Center, Petah Tiqwa (Z. Samra, L. Kaufmann); Tel Aviv University, Tel Aviv, Israel (Y. Haimi Cohen, J. Amir, S. Ashkenazi, T. Eidlitz-Markus, Z. Samra, A. Zeharia);

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Table

Demographic and clinical characteristics of children with Mycobacterium haemophilum and M. avium complex lymphadenitis*

Variable M. haemophilum, n = 39 M. avium complex, n = 29 p value
Mean age, y (range) 4.7 (8 mo–15.5 y) 2.3 (9 mo–7y) <0.001
Male/female, no. (%) 17/22 (44/56) 16/12 (57/43) 0.33
Ethnic origin, no. (%)
Jewish 26 (81.2) 22 (81.5) 1.0
Arab 6 (18.8) 5 (18.5)
Mean time to referral, mo (range) 1.47 (0.25–5) 1.1 (0.25–3) 0.045
Site, no. (%)
Submandibular 24 (61.5) 13 (46.4) 0.32†
Neck 7 (17.9) 6 (21.4)
Preauricular 3 (7.7) 3 (10.7)
Occipital 1 (3.6)
Cheek 4 (14.3)
Bilateral submandibular 1 (2.6)
Submandibular and preauricular 3 (7.7) 1 (3.6)
Neck and preauricular 1 (2.6)
No. infected sites: 1/2, no. (%) 34/5 (87/13) 27/1 (96/4) 0.72
Side: right/left, no. (%) 23/16 (59/41) 21/7 (76/24) 0.20
Mean size of lymphadenopathy, cm2 (range) 8.7 (1.0–25) 8.9 (1.0–35) 0.93
Skin discoloration: yes/no, no. (%) 15/14 (52/48) 9/9 (50/50) 1.0
PPD: mean maximal induration, cm (range) 17.9 (0–32) 14.5 (0–45) 0.22

*PPD, purified protein derivative.
†Refers solely to the submandibular site.

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