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Tuberculous cervical lymphadenitis : ウィキペディア英語版 | Tuberculous cervical lymphadenitis
Mycobacterial cervical lymphadenitis, also known as scrofula or King's evil, refers to a lymphadenitis of the cervical lymph nodes associated with tuberculosis as well as non-tuberculous (atypical) mycobacteria. ==Disease== Scrofula is the term used for lymphadenopathy of the neck, usually as a result of an infection in the lymph nodes, known as lymphadenitis. It can be caused by tuberculous or non tuberculous mycobacteria. About 95% of the scrofula cases in adults are caused by ''Mycobacterium tuberculosis'', most often in immunocompromised patients (about 50% of cervical tuberculous lymphadenopathy). In immunocompetent children, scrofula is often caused by atypical mycobacteria (''Mycobacterium scrofulaceum)'' and other nontuberculous mycobacteria (NTM). Unlike the adult cases, only 8% of cases in children are tuberculous. With the stark decrease of tuberculosis in the second half of the 20th century, scrofula became a less common disease in adults, but remained common in children. With the appearance of AIDS, however, it has shown a resurgence, and presently affects about 5% of severely immunocompromised patients.
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