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Beware of Gland Tuberculosis which is characterized by a lump in the neck

Tuberculosis or TB does not only occur in the lungs, but also in other body parts, one of which is the lymph nodes. In order to avoid lymph node TB, then refer to the following explanation.

Most TB cases do occur in the lungs. But this infection caused by the bacterium Mycobacterium tuberculosis (MTB) can also attack other parts of the body. This condition called extrapulmonary TB or TB outside the lung can affect the lining of the brain, bones, kidneys, abdominal cavity, lymph nodes, urethra, or other body parts including the skin and pleura.

Statistically, TB outside the lung is experienced by about 50 percent of HIV sufferers who also have TB. Among the various types of TB outside the lung, tuberculous lymphadenitis or glandular tuberculosis has the largest percentage among various types of TB outside the other lungs. This glandular tuberculosis can occur in various areas of the body, such as the neck, armpit, and groin lymph nodes.

What are the symptoms of glandular TB?

The following are symptoms of glandular TB that you should be aware of:




  • The questions that occur most are the presence of lumps that do not cause pain and have lasted a long time in the affected lymph nodes, for example in the neck - precisely under the jaw, or underarm.
  • The lump will continue to grow and enlarge which sometimes will cause pain or pain when touched.
  • In addition to swelling, someone who has glandular TB will also experience common symptoms of TB, such as feeling weak, fever, shivering, and weight loss.
  • In some people, lymph node TB does not sometimes cause significant signs even though the bacteria has spread throughout the body. Therefore, if you experience symptoms of major lymph node disease, which is a lump in the lymph nodes, call your doctor immediately.

Beware of Lumps on the Neck

Among all cases of glandular tuberculosis, most cases occur in the neck called scrofula. Skrofula itself is an infection of TB in the lymph nodes in the neck which are generally transmitted when a person breathes air contaminated with MTB. From the lungs, TB germs can move to the closest lymph nodes, including lymph nodes in the neck.

Epidemiologically, cases of glandular TB are still found in developing countries with high rates of TB patients. This condition can affect adults, the elderly, and children, especially those who experience weakness in the immune system.

One of the typical signs of this glandular TB is the appearance of a lump on the neck or head. Usually this lump will continue to enlarge over time and not painful. In addition, scrofula is usually accompanied by other symptoms, such as weight loss for no apparent reason, the body feels uncomfortable, fever, and sweats at night.

Diagnosis and Treatment of Glandular TB

The diagnosis of this disease is generally done through a physical examination and a search of the history of the disease by a doctor. After being suspected of suffering from glandular tuberculosis, the doctor will recommend a biopsy (tissue sampling) to the lump. One procedure is through aspiration biopsy with fine needles.

To help with the diagnosis, the doctor will also carry out a series of examinations which include chest X-ray, CT scan of the neck, blood tests, and examination of TB culture cultures. Examinations to detect HIV may also be needed.

Handling of scrofula can be done by administering antituberculosis given for 6 months or even more. The anti-tuberculosis drug (OAT) given is usually a combination of rifampicin, isoniazid, pirazinamid, and ethambutol. In some cases, doctors can add or reduce the type of drug, and add the length of therapy to several months. Surgery may be done if antibiotics cannot relieve glandular tuberculosis.

With the right treatment, patients with glandular TB can recover fully. However, there are times when complications occur, such as the appearance of scar tissue and wounds that dry on the neck. This complication can be caused by the formation of fistulas and pus. To reduce the risk of glandular tuberculosis becoming more severe, immediately consult a doctor, if there is swelling in the neck.





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Is a health and wellness enthusiast. In him free time, she loves to travel and taste different types of teas.

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