Volume 14, Number 7—July 2008
Letter
Mycobacterium bohemicum and Cervical Lymphadenitis in Children
Julia Huber*
, Elvira Richter†, Lothar Binder‡, Matthias Maa§, Robert Eberl*, and Werner Zenz*
, Elvira Richter†, Lothar Binder‡, Matthias Maa§, Robert Eberl*, and Werner Zenz*
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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