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International Pediatric Otolaryngology Group: Consensus guidelines on the diagnosis and management of non-tuberculous mycobacterial cervicofacial lymphadenitis. International journal of pediatric otorhinolaryngology Roy, C. F., Balakrishnan, K., Boudewyns, A., Cheng, A., Chun, R. H., Daniel, S. J., Fayoux, P., Hart, C., Hemansson, A., Hewitt, R., Hsu, W. C., Kuo, M., Liu, C., Maddalozzo, J., Messner, A. H., Pransky, S., Rahbar, R., Rickert, S., Roy, S., Russell, J., Rutter, M. J., Sie, K. C., Sidell, D., Smith, R., Soma, M., Spratley, J., Watters, K., White, D. R., Wolter, N., Zalzal, G., Yeung, J. C. 2023; 166: 111469

Abstract

Non-tuberculous mycobacterial (NTM) infection commonly manifests as subacute or chronic cervicofacial lymphadenitis in immunocompetent children. The optimal management of this pathology remains controversial.This international consensus guideline aims to understand the practice patterns for NTM cervicofacial lymphadenitis and to address the primary diagnostic and management challenges.A modified three-iterative Delphi method was used to establish expert recommendations on the diagnostic considerations, expectant or medical management, and operative considerations. The recommendations herein are derived from current expert consensus and critical review of the literature.Multinational, multi-institutional, tertiary pediatric hospitals.Consensus recommendations include diagnostic work-up, goals of treatment and management options including surgery, prolonged antibiotic therapy and observation.The recommendations formulated in this International Pediatric Otolaryngology Group (IPOG) consensus statement on the diagnosis and management of patients with NTM lymphadenitis are aimed at improving patient care and promoting future hypothesis generation.

View details for DOI 10.1016/j.ijporl.2023.111469

View details for PubMedID 36764081