Beware of Glandular Tuberculosis Marked by Lump in the Neck

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Beware of Glandular Tuberculosis Marked by Lump in the Neck
Beware of Glandular Tuberculosis Marked by Lump in the Neck

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

Most cases of TB do occur in the lungs. However, this infection caused by the bacterium Mycobacterium tuberculosis (MTB) can also attack other parts of the body.

Beware of Glandular Tuberculosis, which is characterized by a lump in the neck - Alodokter

TB that attacks other parts of the body is called extrapulmonary TB or TB outside the lungs. TB can affect the lining of the brain, bones, kidneys, abdominal cavity, lymph nodes, urinary tract, skin, or pleura.

Among these various types of extrapulmonary TB, tuberculous lymphadenitis or glandular tuberculosis has the largest percentage of other types of extrapulmonary TB. Tuberculosis of this gland can occur in various areas of the body, such as the lymph nodes in the neck.

Glandular Tuberculosis and Lump in Neck

Among the cases of glandular tuberculosis, the most cases occur in the lymph nodes in the neck (scrofula). This condition is generally transmitted when a person breathes air contaminated with MTB. From the lungs, TB germs can move to nearby lymph nodes, including lymph nodes in the neck.

Epidemiologically, cases of glandular TB are still commonly found in developing countries with a high number of TB sufferers. This condition can affect adults, the elderly, and children, especially those who have a weak 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 grow over time and is not painful.

In addition, scrofula is usually accompanied by other symptoms, such as unexplained weight loss, body discomfort, fever, and night sweats.

Diagnosis and Treatment of Glandular TB

Diagnosis of this disease is generally done through a physical examination and a medical history tracing by a doctor. If it is suspected that you have glandular tuberculosis, the doctor will suggest a follow-up examination in the form of a biopsy (tissue sampling) of the lump.

To help with the diagnosis, the doctor will also perform a series of examinations which include a chest X-ray, CT scan of the neck, blood tests, and examination of TB germs. Tests to detect HIV may also be required.

After the results of the examination come out, the doctor may recommend treatment in the form of:


Scrofula treatment can be done by giving antituberculosis for 6 months or even more. The antituberculosis drug (OAT) given is usually a combination of rifampicin, isoniazid, pyrazinamide, and ethambutol.

In some cases, the doctor may add or subtract the type of drug, and increase the duration of therapy up to several months.


Surgery is possible if antibiotics are not able to relieve glandular tuberculosis.

With proper treatment, glandular tuberculosis sufferers can recover completely. However, there are times when complications occur, such as the appearance of scar tissue and dry sores on the neck. This complication can be caused by the formation of fistula 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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