EC Paediatrics

Case Report Volume 12 Issue 2 - 2023

Tuberculous Lymphadenitis in Submandibular Area: A Case Report

Napasorn Phutong*

Department of Surgery, Bangkok Hospital Pattaya, Chonburi, Thailand

*Corresponding Author: Napasorn Phutong, Department of Surgery, Bangkok Hospital Pattaya, Chonburi, Thailand.
Received: January 24, 2023; Published: January 31, 2023



Tuberculous lymphadenopathy is a common cause of pediatric peripheral lymphadenopathy.

Lymph node involvement is the common clinical symptom of extrapulmonary tuberculosis in the pediatric patients. We present a 2-year-old female patient with previous history of diffuse hard painless right submandibular swelling with purulent discharge. She underwent previous surgical drainage. The patient was diagnosed with right submandibular tuberculous lymphadenitis based on previous histopathological report. She came for following with us at pediatric surgical outpatient clinic with clinical symptom of nonhealing wound with purulent discharge after surgical drainage at right submandibular region.

Keywords: Submandibular Tuberculous Lymphadenitis; Tuberculosis; Tubercular Lymphadenitis; Giant Cells; Mycobacterium tuberculosis

  1. Churchyard G., et al. “What we know about tuberculosis transmission: an overview”. The Journal of Infectious Diseases 6 (2017): 629-635.
  2. Marais B., et al. “The burden of childhood tuberculosis and accuracy of community-based surveillance data”. The International Journal of Tuberculosis and Lung Disease 10 (2006): 259-263.
  3. WHO guidelines for diagnosis. WHO Regional Office for South-East Asia (2010).
  4. Nanda KD., et al. “A disguised tuberculosis in oral buccal mucosa”. Journal of Dental Research 3 (2011): 154-159.
  5. Dimitrakopoulos I., et al. “Primary tuberculosis of the oral cavity”. Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology 72 (1991): 712-715.
  6. Andrade NN and Mhatre TS. “Orofacial tuberculosis: a 16 Year Experience of 46 Cases”. Journal of Oral and Maxillofacial Surgery 70 (2012): e12-e22.
  7. Bruzgielewicz A., et al. “Tuberculosis of the head and neck – epidemiological and clinical presentation”. Archives of Medical Science 10 (2014): 1160-1166.
  8. Fontanilla JM., et al. “Current Diagnosis and Management of Peripheral Tuberculous Lymphadenitis”. CID6 (2011): 555-562.
  9. Jones PG and Campbell PE. “Tuberculous lymphadenitis in childhood: the significance of anonymous mycobacteria”. British Journal of Surgery 50 (1962): 302-314.
  10. Treatment of tuberculosis. “Centers for Disease Control”. MMWR Recommendations and Reports 52 (2003): 1-77.
  11. Hawkey CR., et al. “Characteriazation and management of paradoxical upgrading reactions in HIV-uninfected patients with lymph node tuberculosis”. Clinical Infectious Diseases 40 (2005): 1368-1371.
  12. Polesky A., et al. “Peripheral tuberculous lymphadenitis: epidemiology, diagnosis, treatment, and outcome”. Medicine 84 (2005): 350-362.

Napasorn Phutong. Tuberculous Lymphadenitis in Submandibular Area: A Case Report. EC Paediatrics 12.2 (2023): 79-82.