Tekrarlayan Lenfadenit Ayırıcı Tanısında Brankial Kleft Kisti

Abstract

Aynı bölgede bir veya birden fazla servikal lenf nodu inflamasyonu olarak adlandırılan lenfadenit; çocukluk çağında sıklıkla enfeksiyöz ajanların neden olduğu bir durumdur. Epstein-Barr Virus (EBV), Cytomegalovirus (CMV), Human Immunodeficiency Virus (HIV), Human Herpes Virus 6 (HHV-6) gibi enfeksiyöz mononükleoz yapan etkenlerin yanı sıra bakteriyel ajanlardan; grup A streptokoklar, S. aureus, S. epidermidis, tüberkülöz ve tüberkülöz dışı mikobakteriler, F. tularensis, grup B streptokoklar ve yersinia etkenler arasında yer alır. Non-enfeksiyöz lenfadenopati nedenleri daha az sıklıkla görülmekle birlikte maligniteler, kollajen vasküler hastalıklar, ilaçlar ve lenfadenopatiyi taklit eden kitleler şeklinde sınıflandırılabilir. Bu olgu sunumunda daha önce bilinen bir hastalığı olmayan ve boyunda tekrarlayan şişlik nedeniyle başvuran 15 yaşındaki erkek çocukta, lenfadeniti taklit eden komplike brankial kleft kistine dikkat çekmek amaçlanmıştır.

Keywords

• Çocuk, Lenfadenit, Brankial kleft kisti

Branchial Cleft Cyst in the Differential Diagnosis of Recurrent Lymphadenitis

Abstract

Lymphadenitis is a condition characterized by inflammation of one or more lymph nodes in the same region and is generally caused by infectious agents in childhood. The Epstein-Barr Virus (EBV), Cytomegalovirus (CMV), Human Immunodeficiency Virus (HIV), Human Herpes Virus 6 (HHV-6) as well as the causative agent of infectious mononucleosis, and bacterial agents such as Group A Streptococcus, S. aureus, S. epidermidis, tuberculous and non-tuberculous mycobacteria, F. tularensis, Group B Streptococcus and Yersinia are among the factors. Non-infectious etiology of cervical adenitis less frequent but includes malignancies, collagen vascular diseases, drugs, and masses simulating adenopathy. Here, a 15-year-old male patient, who presented with a complaint of recurrent swelling in the neck with no previous known disease, is presented to draw attention to a complicated branchial cleft cyst mimicking lymphadenitis

Keywords

• Child, Lymphadenitis, Branchial cleft cyst

References

1. Bergelson J, Zaoutis T, Shah SS. Acute localized lymphadenopathy of the head and neck (cervical lymphadenopathy) In: Pediatric Infectious Diseases-The Requisites in Pediatrics. 1st ed. Philadelphia: Mosby-Elsevier, 2008.
2. Healy CM, Baker CJ. Cervical lymphadenitis. In: Feiginand Cherry’s Textbook of Pediatric Infectious Diseases. 7th ed. Philadelphia: Elsevier Saunders, 2014:175.
3. Rizzi MD, Wetmore RF, Potsic WP. Differential diagnosis of neck masses. In: Lesperance MM, Flint PW (eds). Cummings Pediatric Otolaryngology. Philadelphia, PA: Elsevier Saunders, 2015:chap 19.
4. Leung AK, Davies HD. Cervical lymphadenitis: Etiology, diagnosis, and management. Curr Infect Dis Rep 2009;11:183-9.
5. Martin KL. Cutaneous defects. In: Kliegman RM, Stanton BF, Geme JS, Schor NF (eds). Nelson Textbook of Pediatrics. 20th ed. Philadelphia, PA:Elsevier, 2016:3119-21.e1
6. Work WP. Cysts and congenital lesions of the parotid gland. Otolaryngol Clin North Am 1977;10:339-43.
7. Goff CJ, Allred C, Glade RS. Current management of congenital branchial cleft cysts, sinuses and fistulae. Curr Opin Otolaryngol Head Neck Surg 2012;20:533–9.
8. Lillehei C. Branchial anomalies neck cystsand sinuses. In: Coran A, Adzick NS, Krummel T, Laberge JM, Shamberger JM, Caldamone A (eds). Pediatric Surgery. 7th ed. St Louis: Elsevier, 2012:753-61.

9. Chen EY, Sie KCY. Developmental anatomy. In: Lesperance MM, Flint PW (eds). Cummings Otolaryngology. 1st ed. Philadelphia: Elsevier, 2015:2821-30.e1
10. Enepekides DJ. Management of congenital anomalies of the neck. Facial Plast Surg Clin North Am 2001;9:131-45.