MYCOBACTERIUM MARCHES BACK

The resurgence of tuberculosis world-wide and its association with HIV infection means a greater likelihood of otolaryngologists encounterin g the disease in one form or another. In this review the features of p rimary and secondary tuberculosis in various head and neck sites are d escribed, and recent advances in diagnosis are discussed. For the otol aryngologists other important aspects such as infections with atypical mycobacteria, the differential diagnosis of cervical lymphadenopathy in HIV-infected patients, recently recognized problems in drug treatme nt, and the role of surgery in head and neck tuberculosis are also dis cussed.