%0 Journal Article
%T EFFICACY OF FINE NEEDLE ASPIRATION CYTOLOGY, ZIEHL-NEELSEN (Z-N) STAIN AND CULTURE (BACTEC) IN DIAGNOSIS OF TUBERCULOSIS LYMPHADENITIS
%A Goswami H.M.
%A Parikh U.R.
%A Barot H.P.
%A Vaghela G.M.
%A Yadav K.S.
%A Gazali Z.A.
%A Vegad M.M.
%J International Journal of Microbiology Research
%D 2012
%I Bioinfo Publications
%X Background- Tuberculous Lymphadenitis is the commonest form of extra pulmonary tuberculosis and tissue diagnosis is the main stay in the diagnosis of extra-pulmonary tuberculosis. This study was conducted to compare cytology, ZN staining and culture findings of clinically suspected tuberculous lymphadenitis cases. Methods- In the Present Study, clinically suspected cases of lymphadenopathy were undergone fine needle aspiration. The aspirates were examined cytologically followed by ZN staining and BACTEC culture. Results- The cytology suggestive of tuberculous lymphadenitis was found in 46 (76.6%) cases out of total 61 cases. Ziehl Neelsen stain demonstrated positive for acid fast bacilli (AFB) in 14 (22.9%) cases and mycobacteria isolated from BACTEC in36 (59%) cases. Out of 61 cases 15(24.5%) cases showed pus formation and in cytological examination 13 of those cases reported as tuberculous lymphadenitis. Aspiration mixed with blood demonstrated AFB positive in 2 (5.88%) and mycobacteria were isolated in 16 (48.48%) cases and cytology suggest tuberculous lymphadenitis in 21 (63.63%) cases. Seven out of Nine cases of necrosis with or without neutrophils show presence of AFB. Samples having epithelioid cell granuloma with or without necrosis show AFB positive in 5 (16.66%) and 2 (25%) cases and mycobacteria isolated in 22 (73.73%) and 5 (62.5%) cases respectively. Conclusion- In spite of the diagnostic pitfalls, the outcomes of this study reinforce the importance of opinion i.e. Fine Needle Aspiration Cytology serves as a potent and accurate diagnostic tool forpatients presenting with Lymphadenopathy due to tuberculosis.
%K Fine Needle Aspiration Cytology
%K Ziehl-Neelsen Staining
%K BACTEC culture
%K chronic cervical lymphadenitis.
%U http://bioinfopublication.org/viewhtml.php?artid=BIA0000360