Saturday, June 10, 2017

Return to: Neck Surgery Protocols

Overview

Chronic granulomatous disease (CGD) represents a heterogeneous group of disorders characterized by defective function of human phagocytes (neutrophils, mononuclear cells, macrophages, and eosinophils). The disease manifests as repeated, severe bacterial and fungal infections (Song et al 2012). In the case pictured below, excision of an infected lymph node (rather than needle biopsy) was requested by the infectious disease service both to institute treatment (removal of infected tissue) and permit full microbial assessment for pathogens.

Level IB Enlarged Lymph Node CGD

019%20CGD.jpg
020%20CGD.jpg
021%20CGD.jpg
022%20CGD.jpg
023%20CGD.jpg
024%20CGD.jpg
025%20CGD.jpg
026%20CGD.jpg
027%20CGD.jpg
032%20postop%206.jpg
036%20postop%206.jpg
 
 Postop day 6 suture removalPostop day #6 suture removal 

References

Song et al: Chronic granulomatous disease: a review of the infectious and inflammatory complications. in Clinical and Molecular Allergy 2011, 9:10 http://www.clinicalmolecularallergy.com/content/9/1/10