Chapter 21 : Tuberculous Lymphadenitis and Parotitis

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Tuberculosis (TB) of the lymphatic glands has afflicted humans for thousands of years. Scrofula is usually a term used to describe the swelling of the lymph nodes in the neck caused by TB; the name scrofula was given because pigs were considered susceptible to the disease, and it comes from the Latin , meaning brood sow. Hippocrates (460–377 BC) mentioned scrofulous tumors in his writing, and Herodotus (484–425 BC) described the exclusion of those afflicted with leprous or scrofulous lesions from the general population. In the Middle Ages, it was believed in England and France that a touch from royalty could heal skin disease known as scrofula or the “king’s evil.” The practice began in the 11th century in France with Robert the Pious (970–1031), King of France, and in England with King Edward the Confessor (1003–1066). Subsequent English and French kings were thought to have inherited this royal touch, which was supposed to show that their right to rule was God given. In grand ceremonies, kings touched hundreds of people afflicted by scrofula ( ).

Citation: Cataño J, Robledo J. 2017. Tuberculous Lymphadenitis and Parotitis, p 343-354. In Schlossberg D (ed), Tuberculosis and Nontuberculous Mycobacterial Infections, Seventh Edition. ASM Press, Washington, DC. doi: 10.1128/microbiolspec.TNMI7-0008-2016
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Figure 1

Multiple cervical lymphadenopathy in a patient with TB lymphadenitis. Computed tomography showing diffuse lymphadenopathy in cervical chains.

Citation: Cataño J, Robledo J. 2017. Tuberculous Lymphadenitis and Parotitis, p 343-354. In Schlossberg D (ed), Tuberculosis and Nontuberculous Mycobacterial Infections, Seventh Edition. ASM Press, Washington, DC. doi: 10.1128/microbiolspec.TNMI7-0008-2016
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Figure 2

Cervical scrofula. Sternal scrofula. Reprinted from reference , with permission.

Citation: Cataño J, Robledo J. 2017. Tuberculous Lymphadenitis and Parotitis, p 343-354. In Schlossberg D (ed), Tuberculosis and Nontuberculous Mycobacterial Infections, Seventh Edition. ASM Press, Washington, DC. doi: 10.1128/microbiolspec.TNMI7-0008-2016
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Figure 3

Endoscopy with esophageal fistula from esophagus to mediastinum. Contrasted chest computed tomography with a fistula from esophagus to mediastinum. Reprinted from reference , with permission.

Citation: Cataño J, Robledo J. 2017. Tuberculous Lymphadenitis and Parotitis, p 343-354. In Schlossberg D (ed), Tuberculosis and Nontuberculous Mycobacterial Infections, Seventh Edition. ASM Press, Washington, DC. doi: 10.1128/microbiolspec.TNMI7-0008-2016
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1. Grzybowski S,, Allen EA . 1995. History and importance of scrofula. Lancet 346 : 14721474.[PubMed]
2. Murray JF,, Rieder HL,, Finley-Croswhite A . 2016. The King’s Evil and the Royal Touch: the medical history of scrofula. Int J Tuberc Lung Dis 20 : 713716.[PubMed]
3. Bray FN,, Alsaidan M,, Simmons BJ,, Falto-Aizpurua LA,, Nouri K . 2015. Scrofula and the Divine Right of Royalty: The King’s Touch. JAMA Dermatol 151 : 702. [PubMed]
4. Duarte I . 2014. The pretended healing of scrofula by the king’s touch. Rev Chilena Infectol 31 : 459467. (In Spanish.)[PubMed]
5. Allen BW,, Hinkes WF . 1983. Koch’s cultivation of tubercle bacilli. Med Lab Sci 40 : 8587.[PubMed]
6. Taylor GM,, Stewart GR,, Cooke M,, Chaplin S,, Ladva S,, Kirkup J,, Palmer S,, Young DB . 2003. Koch’s bacillus—a look at the first isolate of Mycobacterium tuberculosis from a modern perspective. Microbiology 149 : 32133220.[PubMed]
7. Sabiola B,, Bishai W, . 2006. Sybe hartmans. The genus mycobacterial-medical, p 919933. In Dworkin M,, Falkow A,, Rosenberg E,, Schleifer KH,, Stackebrandt E (ed), The Prokaryotes, 3rd ed. Springer, New York, NY.
8. Leão SC,, Martin A,, Mejia GI,, Palomino JC,, Robledo J,, da Silva Telles MA,, Portaels F . 2004. Practical Handbook for the Phenotypic and Genotypic Identification of Mycobacteria. Vanden Broele, Bruges, Belgium.
9. Pfyffer GE,, Brown-Elliot BA,, Wallace RJ, . 2003. Mycobacterium: general characteristics, isolation, and staining procedures, p 532559. In Murray PR,, Baron EJ,, Jorgensen JH,, Pfaller MA,, Yolken RH (ed), Manual of Clinical Microbiology, 8th ed. ASM Press, Washington, DC.
10. Cole ST,, Brosch R,, Parkhill J,, Garnier T,, Churcher C,, Harris D,, Gordon SV,, Eiglmeier K,, Gas S,, Barry CE III,, Tekaia F,, Badcock K,, Basham D,, Brown D,, Chillingworth T,, Connor R,, Davies R,, Devlin K,, Feltwell T,, Gentles S,, Hamlin N,, Holroyd S,, Hornsby T,, Jagels K,, Krogh A,, McLean J,, Moule S,, Murphy L,, Oliver K,, Osborne J,, Quail MA,, Rajandream MA,, Rogers J,, Rutter S,, Seeger K,, Skelton J,, Squares R,, Squares S,, Sulston JE,, Taylor K,, Whitehead S,, Barrell BG . 1998. Deciphering the biology of Mycobacterium tuberculosis from the complete genome sequence. Nature 393 : 537544.[PubMed]
11. Smith I . 2003. Mycobacterium tuberculosis pathogenesis and molecular determinants of virulence. Clin Microbiol Rev 16 : 463496.[PubMed]
12. World Health Organization . 2015. Global Tuberculosis Report 2015, 20th ed. World Health Organization, Geneva, Switzerland. http://apps.who.int/iris/bitstream/10665/191102/1/9789241565059_eng.pdf?ua=1.
13. Peto HM,, Pratt RH,, Harrington TA,, LoBue PA,, Armstrong LR . 2009. Epidemiology of extrapulmonary tuberculosis in the United States, 1993–2006. Clin Infect Dis 49 : 13501357.[PubMed]
14. Arora VK,, Chopra KK . 2007. Extra pulmonary tuberculosis. Indian J Tuberc 54 : 165167.[PubMed]
15. Lazarus AA,, Thilagar B . 2007. Tuberculous lymphadenitis. Dis Mon 53 : 1015.[PubMed]
16. Geldmacher H,, Taube C,, Kroeger C,, Magnussen H,, Kirsten DK . 2002. Assessment of lymph node tuberculosis in northern Germany: a clinical review. Chest 121 : 11771182.[PubMed]
17. Wark P,, Goldberg H,, Ferson M,, McKenzie D,, Lau E,, Rivas K . 1998. Mycobacterial lymphadenitis in eastern Sydney. Aust N Z J Med 28 : 453458.[PubMed]
18. Bayazit YA,, Bayazit N,, Namiduru M . 2004. Mycobacterial cervical lymphadenitis. ORL J Otorhinolaryngol Relat Spec 66 : 275280.[PubMed]
19. Temple SE,, Pham K,, Glendenning P,, Phillips M,, Waterer GW . 2008. Endotoxin induced TNF and IL-10 mRNA production is higher in male than female donors: correlation with elevated expression of TLR4. Cell Immunol 251 : 6971.[PubMed]
20. Chan-Yeung M,, Noertjojo K,, Chan SL,, Tam CM . 2002. Sex differences in tuberculosis in Hong Kong. Int J Tuberc Lung Dis 6 : 1118.[PubMed]
21. Morrison J,, Pai M,, Hopewell PC . 2008. Tuberculosis and latent tuberculosis infection in close contacts of people with pulmonary tuberculosis in low-income and middle-income countries: a systematic review and meta-analysis. Lancet Infect Dis 8 : 359368.
22. Dye C,, Williams BG . 2010. The population dynamics and control of tuberculosis. Science 328 : 856861.[PubMed]
23. Asano S . 2012. Granulomatous lymphadenitis. J Clin Exp Hematop 52 : 116.[PubMed]
24. Havlir DV,, Barnes PF . 1999. Tuberculosis in patients with human immunodeficiency virus infection. N Engl J Med 340 : 367373.[PubMed]
25. Morán-Mendoza O,, Marion SA,, Elwood K,, Patrick D,, FitzGerald JM . 2010. Risk factors for developing tuberculosis: a 12-year follow-up of contacts of tuberculosis cases. Int J Tuberc Lung Dis 14 : 11121119.[PubMed]
26. Lönnroth K,, Castro KG,, Chakaya JM,, Chauhan LS,, Floyd K,, Glaziou P,, Raviglione MC . 2010. Tuberculosis control and elimination 2010–50: cure, care, and social development. Lancet 375 : 18141829.
27. Keane J . 2005. TNF-blocking agents and tuberculosis: new drugs illuminate an old topic. Rheumatology (Oxford) 44 : 714720.[PubMed]
28. Cataño JC,, Morales M . 2015. Follow-up results of isoniazid chemoprophylaxis during biological therapy in Colombia. Rheumatol Int 35 : 15491553.[PubMed]
29. Perlman DC,, D’Amico R,, Salomon N . 2001. Mycobacterial infections of the head and neck. Curr Infect Dis Rep 3 : 233241.[PubMed]
30. Yang D,, Kong Y . 2015. The bacterial and host factors associated with extrapulmonary dissemination of Mycobacterium tuberculosis . Front Biol (Beijing) 10 : 252261.[PubMed]
31. Mustafa T,, Mogga SJ,, Mfinanga SG,, Mørkve O,, Sviland L . 2006. Immunohistochemical analysis of cytokines and apoptosis in tuberculous lymphadenitis. Immunology 117 : 454462.[PubMed]
32. Polesky A,, Grove W,, Bhatia G . 2005. Peripheral tuberculous lymphadenitis: epidemiology, diagnosis, treatment, and outcome. Medicine (Baltimore) 84 : 350362.
33. Ali Chaudhry L,, Al-Solaiman S . 2013. Multifocal tuberculosis: many faces of an old menace. Int J Mycobacteriol 2 : 5869.[PubMed]
34. Handa U,, Mundi I,, Mohan S . 2012. Nodal tuberculosis revisited: a review. J Infect Dev Ctries 6 : 612.[PubMed]
35. Kanlikama M,, Mumbuç S,, Bayazit Y,, Sirikçi A . 2000. Management strategy of mycobacterial cervical lymphadenitis. J Laryngol Otol 114 : 274278.[PubMed]
36. Fontanilla JM,, Barnes A,, von Reyn CF . 2011. Current diagnosis and management of peripheral tuberculous lymphadenitis. Clin Infect Dis 53 : 555562.[PubMed]
37. Meghji S,, Giddings CE . 2015. What is the optimal diagnostic pathway in tuberculous lymphadenitis in the face of increasing resistance: cytology or histology? Am J Otolaryngol 36 : 781785.[PubMed]
38. Al-Dajani N,, Wootton SH . 2007. Cervical lymphadenitis, suppurative parotitis, thyroiditis, and infected cysts. Infect Dis Clin North Am 21 : 523541, viii.[PubMed]
39. Wakely PE Jr,, Kneisl JS . 2000. Soft tissue aspiration cytopathology. Cancer 90 : 292298.[PubMed]
40. Bezabih M,, Mariam DW,, Selassie SG . 2002. Fine needle aspiration cytology of suspected tuberculous lymphadenitis. Cytopathology 13 : 284290.[PubMed]
41. Asimacopoulos EP,, Berry M,, Garfield B,, Roesner M,, Jepson A,, McCarthy J,, Kon OM . 2010. The diagnostic efficacy of fine-needle aspiration using cytology and culture in tuberculous lymphadenitis. Int J Tuberc Lung Dis 14 : 9398.[PubMed]
42. Marais BJ,, Wright CA,, Schaaf HS,, Gie RP,, Hesseling AC,, Enarson DA,, Beyers N . 2006. Tuberculous lymphadenitis as a cause of persistent cervical lymphadenopathy in children from a tuberculosis-endemic area. Pediatr Infect Dis J 25 : 142146.[PubMed]
43. Mehta PK,, Raj A,, Singh N,, Khuller GK . 2012. Diagnosis of extrapulmonary tuberculosis by PCR. FEMS Immunol Med Microbiol 66 : 2036.[PubMed]
44. Blaikley JF,, Khalid S,, Ormerod LP . 2011. Management of peripheral lymph node tuberculosis in routine practice: an unselected 10-year cohort. Int J Tuberc Lung Dis 15 : 375378.[PubMed]
45. Kirwan DE,, Ugarte-Gil C,, Gilman RH,, Caviedes L,, Rizvi H,, Ticona E,, Chavez G,, Cabrera JL,, Matos ED,, Evans CA,, Moore DA,, Friedland JS , Lymph Node TB Working Group, Peru . 2016. Microscopic observation drug susceptibility assay for rapid diagnosis of lymph node tuberculosis and detection of drug resistance. J Clin Microbiol 54 : 185189.[PubMed]
46. Carvalho AC,, Codecasa L,, Pinsi G,, Ferrarese M,, Fornabaio C,, Bergamaschi V,, Lacchini C,, Ekema G,, Stefini S,, Comelli M,, Matteelli A . 2010. Differential diagnosis of cervical mycobacterial lymphadenitis in children. Pediatr Infect Dis J 29 : 629633.[PubMed]
47. Abdissa K,, Tadesse M,, Abdella K,, Bekele A,, Bezabih M,, Abebe G . 2015. Diagnostic performance of fluorescent light-emitting diode microscopy for tuberculous lymphadenitis in a high-burden setting. Trop Med Int Health 20 : 15431548.[PubMed]
48. Wright CA,, van der Burg M,, Geiger D,, Noordzij JG,, Burgess SM,, Marais BJ . 2008. Diagnosing mycobacterial lymphadenitis in children using fine needle aspiration biopsy: cytomorphology, ZN staining and autofluorescence—making more of less. Diagn Cytopathol 36 : 245251.[PubMed]
49. Thakur B,, Mehrotra R,, Nigam JS . 2013. Correlation of various techniques in diagnosis of tuberculous lymphadenitis on fine needle aspiration cytology. Pathol Res Int 2013 : 824620. [PubMed]
50. Wright CA,, van Zyl Y,, Burgess SM,, Blumberg L,, Leiman G . 2004. Mycobacterial autofluorescence in Papanicolaou-stained lymph node aspirates: a glimmer in the dark? Diagn Cytopathol 30 : 257260.[PubMed]
51. Nataraj G,, Kurup S,, Pandit A,, Mehta P . 2002. Correlation of fine needle aspiration cytology, smear and culture in tuberculous lymphadenitis: a prospective study. J Postgrad Med 48 : 113116.[PubMed]
52. Singh KK,, Muralidhar M,, Kumar A,, Chattopadhyaya TK,, Kapila K,, Singh MK,, Sharma SK,, Jain NK,, Tyagi JS . 2000. Comparison of in house polymerase chain reaction with conventional techniques for the detection of Mycobacterium tuberculosis DNA in granulomatous lymphadenopathy. J Clin Pathol 53 : 355361.[PubMed]
53. Linasmita P,, Srisangkaew S,, Wongsuk T,, Bhongmakapat T,, Watcharananan SP . 2012. Evaluation of real-time polymerase chain reaction for detection of the 16S ribosomal RNA gene of Mycobacterium tuberculosis and the diagnosis of cervical tuberculous lymphadenitis in a country with a high tuberculosis incidence. Clin Infect Dis 55 : 313321.[PubMed]
54. Sharma M,, Sharma K,, Sharma A,, Gupta N,, Rajwanshi A . 2016. Loop-mediated isothermal amplification (LAMP) assay for speedy diagnosis of tubercular lymphadenitis: the multi-targeted 60-minute approach. Tuberculosis (Edinburgh) 100 : 114117.[PubMed]
55. Bruijnesteijn Van Coppenraet ES,, Lindeboom JA,, Prins JM,, Peeters MF,, Claas EC,, Kuijper EJ . 2004. Real-time PCR assay using fine-needle aspirates and tissue biopsy specimens for rapid diagnosis of mycobacterial lymphadenitis in children. J Clin Microbiol 42 : 26442650.[PubMed]
56. WHO . 2013. Automated Real-Time Nucleic Acid Amplification Technology for Rapid and Simultaneous Detection of Tuberculosis and Rifampicin Resistance: Xpert MTB/RIF Assay for the Diagnosis of Pulmonary and Extrapulmonary TB in Adults and Children: Policy Update. World Health Organization, Geneva, Switzerland.
57. Tortoli E,, Russo C,, Piersimoni C,, Mazzola E,, Dal Monte P,, Pascarella M,, Borroni E,, Mondo A,, Piana F,, Scarparo C,, Coltella L,, Lombardi G,, Cirillo DM . 2012. Clinical validation of Xpert MTB/RIF for the diagnosis of extrapulmonary tuberculosis. Eur Respir J 40 : 442447.[PubMed]
58. Scott LE,, Beylis N,, Nicol M,, Nkuna G,, Molapo S,, Berrie L,, Duse A,, Stevens WS . 2014. Diagnostic accuracy of Xpert MTB/RIF for extrapulmonary tuberculosis specimens: establishing a laboratory testing algorithm for South Africa. J Clin Microbiol 52 : 18181823.[PubMed]
59. Salvador F,, Los-Arcos I,, Sánchez-Montalvá A,, Tórtola T,, Curran A,, Villar A,, Saborit N,, Castellví J,, Molina I . 2015. Epidemiology and diagnosis of tuberculous lymphadenitis in a tuberculosis low-burden country. Medicine (Baltimore) 94 : e509. [PubMed]
60. Leung AK,, Davies HD . 2009. Cervical lymphadenitis: etiology, diagnosis, and management. Curr Infect Dis Rep 11 : 183189.[PubMed]
61. Song JY,, Cheong HJ,, Kee SY,, Lee J,, Sohn JW,, Kim MJ,, Seo SI,, Kim IS,, Kim WJ . 2007. Disease spectrum of cervical lymphadenitis: analysis based on ultrasound-guided core-needle gun biopsy. J Infect 55 : 310316.[PubMed]
62. Park JH,, Kim DW . 2014. Sonographic diagnosis of tuberculous lymphadenitis in the neck. J Ultrasound Med 33 : 16191626.[PubMed]
63. Mitchison D,, Davies G . 2012. The chemotherapy of tuberculosis: past, present and future. Int J Tuberc Lung Dis 16 : 724732.[PubMed]
64. Liu SY,, Li JH,, Schluger NW . 2005. DOT and timely treatment completion among Asian-born immigrant tuberculosis patients. Int J Tuberc Lung Dis 9 : 884889.[PubMed]
65. Nahid P,, Dorman SE,, Alipanah N,, Barry PM,, Brozek JL,, Cattamanchi A . 10 August 2016. Official American Thoracic Society/Centers for Disease Control and Prevention/Infectious Diseases Society of America clinical practice guidelines: treatment of drug-susceptible tuberculosis. Clin Infect Dis doi:10.1093/cid/ciw376.
66. Visser ME,, Texeira-Swiegelaar C,, Maartens G . 2004. The short-term effects of anti-tuberculosis therapy on plasma pyridoxine levels in patients with pulmonary tuberculosis. Int J Tuberc Lung Dis 8 : 260262.[PubMed]
67. Park KH,, Lee MS,, Lee SO,, Choi SH,, Kim YS,, Woo JH,, Kim SH . 2013. Incidence and outcomes of paradoxical lymph node enlargement after anti-tuberculosis therapy in non-HIV patients. J Infect 67 : 408415.[PubMed]
68. Ammari FF,, Bani Hani AH,, Ghariebeh KI . 2003. Tuberculosis of the lymph glands of the neck: a limited role for surgery. Otolaryngol Head Neck Surg 128 : 576580.[PubMed]
69. Mandell DL,, Wald ER,, Michaels MG,, Dohar JE . 2003. Management of nontuberculous mycobacterial cervical lymphadenitis. Arch Otolaryngol Head Neck Surg 129 : 341344.[PubMed]
70. Wang JY,, Lee MC,, Shu CC,, Lee CH,, Lee LN,, Chao KM,, Chang FY . 2015. Optimal duration of anti-TB treatment in patients with diabetes: nine or six months? Chest 147 : 520528.[PubMed]
71. Ahmad Khan F,, Minion J,, Al-Motairi A,, Benedetti A,, Harries AD,, Menzies D . 2012. An updated systematic review and meta-analysis on the treatment of active tuberculosis in patients with HIV infection. Clin Infect Dis 55 : 11541163.[PubMed]
72. Havlir DV,, Kendall MA,, Ive P,, Kumwenda J,, Swindells S,, Qasba SS,, Luetkemeyer AF,, Hogg E,, Rooney JF,, Wu X,, Hosseinipour MC,, Lalloo U,, Veloso VG,, Some FF,, Kumarasamy N,, Padayatchi N,, Santos BR,, Reid S,, Hakim J,, Mohapi L,, Mugyenyi P,, Sanchez J,, Lama JR,, Pape JW,, Sanchez A,, Asmelash A,, Moko E,, Sawe F,, Andersen J,, Sanne I , AIDS Clinical Trials Group Study A5221 . 2011. Timing of antiretroviral therapy for HIV-1 infection and tuberculosis. N Engl J Med 365 : 14821491.[PubMed]
73. Blanc FX,, Sok T,, Laureillard D,, Borand L,, Rekacewicz C,, Nerrienet E,, Madec Y,, Marcy O,, Chan S,, Prak N,, Kim C,, Lak KK,, Hak C,, Dim B,, Sin CI,, Sun S,, Guillard B,, Sar B,, Vong S,, Fernandez M,, Fox L,, Delfraissy JF,, Goldfeld AE , CAMELIA (ANRS 1295–CIPRA KH001) Study Team . 2011. Earlier versus later start of antiretroviral therapy in HIV-infected adults with tuberculosis. N Engl J Med 365 : 14711481.[PubMed]
74. Brown CS,, Smith CJ,, Breen RA,, Ormerod LP,, Mittal R,, Fisk M,, Milburn HJ,, Price NM,, Bothamley GH,, Lipman MC . 2016. Determinants of treatment-related paradoxical reactions during anti-tuberculosis therapy: a case control study. BMC Infect Dis 16 : 479. [PubMed]
75. Lee IK,, Liu JW . 2005. Tuberculous parotitis: case report and literature review. Ann Otol Rhinol Laryngol 114 : 547551.[PubMed]
76. Padilla Parrado M,, Díaz Sastre MA,, Aranzana Gómez A,, Morales Puebla JM,, Chacón Martínez J,, Caro García MA,, Jiménez Antolín JA,, Menéndez Loras LM . 2007. Parotid tuberculosis simulating neoplasia. Presentation of a case and review of literature. An Otorrinolaringol Ibero Am 34 : 163175. (In Spanish.)[PubMed]
77. Von Stubenrauch L . 1894. Einen Oberfall von tuberculoser Parotitis. Arch Klin Chir 47 : 2632.
78. Kuruvilla A,, Saha NK,, Barton RP,, Zardawi IM . 1981. Tuberculosis of intra-parotid lymph nodes. J Laryngol Otol 95 : 11651167.[PubMed]
79. Stanley RB,, Fernandez JA,, Peppard SB . 1983. Cervicofacial mycobacterial infections presenting as major salivary gland disease. Laryngoscope 93 : 12711275.[PubMed]
80. Yaniv E,, Avedillo H . 1985. Facial paralysis due to primary tuberculosis of the parotid gland. Int J Pediatr Otorhinolaryngol 9 : 195196.[PubMed]
81. Talmi YP,, Shem-Tov Y,, Gal R,, Finkelstein Y,, Zohar Y . 1990. Tuberculosis of a periglandular lymph node presenting as a parotid tumor. J Otolaryngol 19 : 7375.[PubMed]
82. Rowe-Jones JM,, Vowles R,, Leighton SE,, Freedman AR . 1992. Diffuse tuberculous parotitis. J Laryngol Otol 106 : 10941095.[PubMed]
83. O’Connell JE,, George MK,, Speculand B,, Pahor AL . 1993. Mycobacterial infection of the parotid gland: an unusual cause of parotid swelling. J Laryngol Otol 107 : 561564.[PubMed]
84. Hunter DC,, Thomas JM . 1993. Tuberculosis in the parotid region. Br J Surg 80 : 1008. [PubMed]
85. Henderson SO,, Mallon WK . 1995. Tuberculosis as the cause of diffuse parotitis. Ann Emerg Med 26 : 376379.[PubMed]
86. Bhat NA,, Stansbie JM . 1996. Tuberculous parotitis: a case report. J Laryngol Otol 110 : 976977.[PubMed]
87. Bhargava S,, Watmough DJ,, Chisti FA,, Sathar SA . 1996. Case report: tuberculosis of the parotid gland—diagnosis by CT. Br J Radiol 69 : 11811183.[PubMed]
88. Süoğlu Y,, Erdamar B,, Cölhan I,, Katircioğlu OS,, Cevikbas U . 1998. Tuberculosis of the parotid gland. J Laryngol Otol 112 : 588591.[PubMed]
89. Bhargava AK,, Shenoy AM,, Kumar RV,, Nanjundappa,, Rao CR . 1999. Parotid tuberculosis simulating malignancy. J Laryngol Otol 113 : 951952.[PubMed]
90. Suleiman AM . 2001. Tuberculous parotitis: report of 3 cases. Br J Oral Maxillofac Surg 39 : 320323.[PubMed]
91. Chatterjee A,, Varman M,, Quinlan TW . 2001. Parotid abscess caused by Mycobacterium tuberculosis . Pediatr Infect Dis J 20 : 912914.[PubMed]
92. Hamdan AL,, Hadi U,, Shabb N . 2002. Tuberculous parotitis: a forgotten entity. Otolaryngol Head Neck Surg 126 : 581582.[PubMed]
93. Baldwin AJ,, Foster ME . 2002. Tuberculous parotitis. Br J Oral Maxillofac Surg 40 : 444445.[PubMed]
94. Dhingra VK,, Rajpal S,, Gupta UA,, Aggarwal JK,, Mandal AK . 2006. Bilateral diffuse tuberculosis of the parotid gland. J Coll Physicians Surg Pak 16 : 6970.[PubMed]
95. Oktay MF,, Aşkar I,, Yildirim M,, Topçu I,, Meriç F . 2007. Tuberculous parotitis: a review of seven cases. Kulak Burun Bogaz Ihtis Derg 17 : 272277.[PubMed]
96. Archontaki M,, Stamou AK,, Hajiioannou JK,, Kalomenopoulou M,, Kyrmizakis DE . 2008. Intraparotid lymph node tuberculosis. B-ENT 4 : 3537.[PubMed]
97. Thakur J,, Thakur A,, Mohindroo N,, Mohindroo S,, Sharma D . 2011. Bilateral parotid tuberculosis. J Glob Infect Dis 3 : 296299.[PubMed]
98. Gayathri B,, Kalyani R,, Manjula K . 2011. Primary tuberculous parotitis. J Cytol 28 : 144145.[PubMed]
99. Vyas S,, Kaur N,, Yadav TD,, Gupta N,, Khandelwal N . 2012. Tuberculosis of parotid gland masquerading parotid neoplasm. Natl J Maxillofac Surg 3 : 199201.[PubMed]
100. Errami N,, Benjelloun A,, Tahtah N,, Hemmaoui B,, Jahidi A,, Nakkabi I,, Zalagh M,, Benariba F . 2015. Tuberculosis of the parotid gland: histology surprise. Pan Afr Med J 20 : 343. [PubMed]
101. Gupta N,, Nuwal P,, Gupta ML,, Gupta RC,, Dixit RK . 2001. Primary tuberculosis of soft palate. Indian J Chest Dis Allied Sci 43 : 119121.[PubMed]
102. Von Arx DP,, Husain A . 2001. Oral tuberculosis. Br Dent J 190 : 420422.[PubMed]
103. Weiner GM,, Pahor AL . 1996. Tuberculous parotitis: limiting the role of surgery. J Laryngol Otol 110 : 9697.[PubMed]
104. Bagga P,, Pandey P,, Shahi M,, Mittal A,, Mehta V,, Ganju A . 2010. Parotid gland tuberculosis diagnosed on FNAC: a case report. Cytopathology 21 : 127129.[PubMed]
105. Handa U,, Kumar S,, Punia RS,, Mohan H,, Abrol R,, Saini V . 2001. Tuberculous parotitis: a series of five cases diagnosed on fine needle aspiration cytology. J Laryngol Otol 115 : 235237.[PubMed]
106. Cataño JC,, Galeano D,, Botero JC . 2014. Tuberculous sternal osteomyelitis. Am J Emerg Med 32 : 1302e11302e2.[PubMed]
107. Cataño J,, Cardeño J . 2013. Perforated tuberculosis lymphadenitis. Am J Trop Med Hyg 88 : 10091010.[PubMed]

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