International Pediatric Otolaryngology Group: Consensus guidelines on the diagnosis and management of non-tuberculous mycobacterial cervicofacial lymphadenitis

Catherine F. Roy, Karthik Balakrishnan, An Boudewyns, Alan Cheng, Robert H. Chun, Sam J. Daniel, Pierre Fayoux, Catherine Hart, Ann Hemansson, Richard Hewitt, Wei Chung Hsu, Michael Kuo, Christopher Liu, John Maddalozzo, Anna H. Messner, Seth Pransky, Reza Rahbar, Scott Rickert, Soham Roy, John RussellMichael J. Rutter, Kathleen C.Y. Sie, Douglas Sidell, Richard Smith, Marlene Soma, Jorge Spratley, Karen Watters, David R. White, Nikolaus Wolter, George Zalzal, Jeffrey C. Yeung*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Introduction: Non-tuberculous mycobacterial (NTM) infection commonly manifests as subacute or chronic cervicofacial lymphadenitis in immunocompetent children. The optimal management of this pathology remains controversial. Objectives: This international consensus guideline aims to understand the practice patterns for NTM cervicofacial lymphadenitis and to address the primary diagnostic and management challenges. Methods: 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. Setting: Multinational, multi-institutional, tertiary pediatric hospitals. Results: Consensus recommendations include diagnostic work-up, goals of treatment and management options including surgery, prolonged antibiotic therapy and observation. Conclusion: 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.

Original languageEnglish (US)
Article number111469
JournalInternational journal of pediatric otorhinolaryngology
Volume166
DOIs
StatePublished - Mar 2023

Keywords

  • Atypical mycobacteria
  • Cervical lymphadenitis
  • Consensus recommendations
  • Non-tuberculous mycobacteria

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Otorhinolaryngology

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