Vol.97 No.2 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 97 No. 2 February 2004
A Case of Cervical Tuberculous
Lymphadenitis with Pregnancy
Takashi Kato, Suetaka Nishiike, Miki Nagai,
Masaki Konishi and Yoshiharu Sakata
(Suita Municipal Hospital)
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.
Key words : cervical tuberculous lymphadenitis, pregnancy, extrapulmonary tuberculosis, tuberculin reaction, PCR test