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Letters Lymph node tuberculosis

Time for a culture change?

BMJ 2010; 340 doi: (Published 13 April 2010) Cite this as: BMJ 2010;340:c1975
  1. J Robert O’Neill, clinical lecturer, general surgery1
  1. 1Royal Infirmary of Edinburgh, Edinburgh EH16 4SA
  1. Robertoneill{at}

    Sellar and colleagues highlight three patients presenting with lymphadenopathy in whom appropriate management was delayed owing to a presumptive rather than definitive diagnosis of tuberculosis.1 However, tuberculous lymphadenitis cannot be rapidly diagnosed from the presence of acid- and alcohol-fast bacilli in fine needle aspirates. All mycobacteria are acid- and …

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