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Scrofula Presenting as an Isolated Neck Mass

Cervical tuberculous lymphadenitis, or scrofula, is the most common form of extrapulmonary tuberculosis. While viewed as a pediatric disease in endemic areas, cervical node infections comprise approximately 25% of all new extrapulmonary tuberculosis cases in the United States. While number of new diagnoses are decreasing overall, the percentage of all tuberculosis presented as lymphadenitis has increased from 8 to 21% in the past few decades. As expected, incidence is greater in immunocompromised populations and developing countries.