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Archives de pédiatrie
Volume 19, n° 10
pages 1070-1073 (octobre 2012)
Doi : 10.1016/j.arcped.2012.06.022
Received : 23 November 2011 ;  accepted : 29 June 2012
Adénite épitrochléenne à mycobactérie non tuberculeuse
Nontuberculous mycobacterial epitrochlear adenitis
 

J.-C. Beghin a, , H. Charlier b, E. Bodart c, D. Tuerlinckx c
a Université catholique de Louvain, 1200 Bruxelles, Belgique 
b Service de chirurgie orthopédique, cliniques universitaires UCL de Mont-Godinne, 5530 Yvoir, Belgique 
c Service de pédiatrie, cliniques universitaires UCL de Mont-Godinne, 5530 Yvoir, Belgique 

Auteur correspondant.
Résumé

Nous rapportons le cas d’une adénite épitrochléenne unilatérale à Mycobacterium avium chez une enfant de 2ans. L’adénite est la présentation la plus fréquente des infections à mycobactéries non tuberculeuses (MNT) chez l’enfant. Les localisations classiques sont cervicales, submandibulaires, axillaires, inguinales, médiastinales et parotidiennes. À notre connaissance, il s’agit du premier cas décrit d’une localisation épitrochléenne. Le diagnostic repose sur la mise en évidence du germe mais également sur l’exclusion des autres causes telles que les infections à Bartonella henselae et Mycobacterium tuberculosis . Le traitement repose sur l’exérèse chirurgicale et le taux de guérison est de 90 %. L’utilisation des macrolides est à réserver aux lésions étendues ou récidivantes malgré une prise en charge chirurgicale optimale.

The full text of this article is available in PDF format.
Summary

We report the case of a 2-year-old girl referred for unilateral epitrochlear lymphadenitis caused by Mycobacterium avium . Adenitis is the most frequent presentation of non tuberculous mycobacteria in children. Typical locations are the cervical, submandibular, axillar, inguinal, mediastinal, and parotid regions. To our knowledge, this is the first observation of an epitrochlear location. The diagnosis was made by evidencing the causal bacterium but also by the exclusion of other causes such as Bartonella henselae and Mycobacterium tuberculosis infections. Treatment is based on surgical excision, which provides a cure rate of 90%. Macrolides are reserved for extended lesions and/or relapsing lesions despite surgical management.

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