Symptoms of Tuberculous Cervical Lymphadenitis

Lymphadenitis is a relatively common condition encountered in daily life. It is often accompanied by localized swelling and pain, which can interfere with normal work activities. What are the symptoms of cervical tuberculous lymphadenitis?

What Are the Symptoms of Cervical Tuberculous Lymphadenitis?

Symptoms of cervical tuberculous lymphadenitis include localized lymph node enlargement—often involving multiple nodes that coalesce into a mass. These enlarged nodes may adhere to the overlying skin, exhibit poor mobility, and appear reddish-purple or dusky red. In advanced cases, the skin may break down, discharging purulent material containing caseous (cheese-like) necrotic debris. The ulcerated site typically fails to heal, resulting in chronic sinus tract formation.

Some patients may also experience systemic symptoms, primarily those associated with pulmonary tuberculosis intoxication—such as low-grade fever in the afternoon, night sweats, fatigue, and weight loss. Cervical tuberculous lymphadenitis is treatable and generally curable. The mainstay of treatment involves oral antitubercular medications, which may exert some degree of hepatotoxicity.

Cervical tuberculous lymphadenitis is a chronic infectious disease caused by Mycobacterium tuberculosis. Isolated cervical tuberculous lymphadenitis is generally non-contagious. However, if a patient with cervical lymphadenopathy also has active pulmonary tuberculosis, they may be contagious. Tuberculosis is primarily transmitted via the respiratory route; healthy individuals can become infected by inhaling airborne droplets or aerosols containing M. tuberculosis. We hope this information is helpful to you.