Evidence map›Paper›PMID 41059128›Full record

ArticleF1000Research2025

Factors predicting outcome in cervical lymph node tuberculosis: insights from a Tunisian case series.

Maissa Lajhouri, Selima Jouini, Yosra Ammar Mnejja, Azza Mediouni, Rihab Lahmar, Houda Chahed

Abstract read
In one paragraph

Article in F1000Research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Maissa LajhouriDepartment of otorhinolaryngology- Head and Neck Surgery, La Rabta University Hospital Center, Tunis, 1007, Tunisia.ORCID https://orcid.org/0009-0000-5656-0208
Selima JouiniDepartment of otorhinolaryngology- Head and Neck Surgery, La Rabta University Hospital Center, Tunis, 1007, Tunisia.
Yosra Ammar MnejjaDepartment of otorhinolaryngology- Head and Neck Surgery, La Rabta University Hospital Center, Tunis, 1007, Tunisia.ORCID https://orcid.org/0009-0008-7563-2164
Azza MediouniDepartment of otorhinolaryngology- Head and Neck Surgery, La Rabta University Hospital Center, Tunis, 1007, Tunisia.
Rihab LahmarDepartment of otorhinolaryngology- Head and Neck Surgery, La Rabta University Hospital Center, Tunis, 1007, Tunisia.
Houda ChahedDepartment of otorhinolaryngology- Head and Neck Surgery, La Rabta University Hospital Center, Tunis, 1007, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Tuberculosis remains a significant public health issue in Tunisia. This study aimed to describe the epidemiological, clinical, and therapeutic characteristics of cervical lymph node tuberculosis and identify factors influencing outcomes. Methods: A retrospective study was conducted over a 3-year period in the ENT department at La Rabta Hospital, Tunis. Diagnosis was based on histopathological evidence, and disease progression was categorized as favorable (treatment <9 months, no additional surgery) or unfavorable (treatment >9 months and/or supplementary surgery).The study population was divided into two groups based on the outcome nature, and analytical analysis was performed to assess factors influencing outcomes. Results: The study included 102 patients (32 men and 70 women), with a median age of 34.5 years (range: 8-83 years). Most patients (78.4%) had no significant medical history or known HIV infection. Thirty-nine patients (38.2%) had a history of consuming raw milk. In 65 cases (63.7%), lymph node size exceeded 3 cm. Hypoechogenicity (53.9%) and necrosis (40.1%) were the most common findings on ultrasound and CT scan, respectively. The initial diagnostic approach included adenectomy (56.8%), lymph node dissection (8.9%), and drainage of cold abscesses (34.3%). All patients received an initial four-drug antituberculosis regimen. Ethambutol treatment was extended beyond 2 months in 65 cases (63.7%). Fifty-six patients (54.9%) had a favorable outcome.Factors associated with a favorable outcome included intact skin, complete initial lymph node dissection, favorable progress at 2 months, and prolonged ethambutol therapy. Conclusions: The management of lymph node tuberculosis remains challenging, especially with insufficient bacteriological confirmation. Regional epidemiological factors should be considered. The role of surgery is crucial; however, further standardization is needed to optimize patient outcomes.

Indexed as

Tuberculosis, Lymph NodeAdolescentAdultAgedAged, 80 and overAntitubercular AgentsChildFemaleHumansLymph NodesMaleMiddle AgedNeckRetrospective StudiesTreatment OutcomeTunisiaAntitubercular AgentslymphadenopathyMycobacterium Bovisoutcome.tuberculosistuberculous lymphadenitis

Identifiers

PMID41059128
PMCPMC12498516

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.