Читать книгу Salivary Gland Pathology - Группа авторов - Страница 130

Nontuberculous mycobacterial disease has become an important entity in the pediatric population. It has been estimated that greater than 92% of mycobacterial cervicofacial infections in children are a result of nontuberculous mycobacteria (Arrieta and McCaffrey 2005). The disease primarily affects children younger than five years of age. The specific organisms are M. Kansasii, Mycobacterium avium‐intracellulare, and M. scrofulaceum. The typical clinical presentation is that of a rapidly enlarging and persistent parotid and/or neck mass that has failed to resolve with antibiotic therapy (Mitchell and Ord 1988) (Figure 3.17). A characteristic violaceous discoloration to the skin develops. The treatment of choice is surgical removal of the involved salivary gland and associated lymph nodes.