{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T11:19:28Z","timestamp":1787915968639,"version":"build-2784847793"},"reference-count":20,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,8,22]]},"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:p>This case report describes a case of probable non-tuberculous mycobacteria (NTM) cervical lymphadenitis with extensive necrotic skin involvement. A girl in early childhood had a 3-month history of unilateral submandibular swelling. This developed into an abscess which discharged following trauma. She subsequently developed a significant necrotic soft tissue wound and was referred as suspected necrotising fasciitis of the neck. Following multidisciplinary input, she was diagnosed with probable NTM cervical lymphadenitis. A joint decision was made to avoid surgical debridement and not to treat with antimycobacterial antibiotics. She healed completely without need for surgery within 3\u2009months. A non-operative approach in a clinically well patient with probable NTM lymphadenitis can result in an excellent outcome, avoiding the risks of surgery in a child and long-term antibiotic therapy.<\/jats:p>","DOI":"10.1136\/bcr-2025-271367","type":"journal-article","created":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T10:55:18Z","timestamp":1787914518000},"page":"e271367","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Conservative management of paediatric atypical necrotising cervical lymphadenitis"],"prefix":"10.1136","volume":"19","author":[{"given":"Tapan","family":"Parikh","sequence":"first","affiliation":[{"name":"Plastic Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abigail","family":"Lamyman","sequence":"additional","affiliation":[{"name":"Ear, Nose and Throat Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Lees","sequence":"additional","affiliation":[{"name":"Paediatric Infectious Diseases, Oxford University Hospitals NHS Foundation Trust, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Wormald","sequence":"additional","affiliation":[{"name":"Plastic Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,8,28]]},"reference":[{"key":"2026082803551186000_19.8.e271367.1","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0b013e3181978e8e"},{"key":"2026082803551186000_19.8.e271367.2","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0b013e31819f7b3f"},{"key":"2026082803551186000_19.8.e271367.3","first-page":"S40","article-title":"Nontuberculous mycobacteria in children: a changing pattern","volume":"34 Suppl 1","author":"Vu","year":"2005","journal-title":"J Otolaryngol"},{"key":"2026082803551186000_19.8.e271367.4","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/15.5.276"},{"key":"2026082803551186000_19.8.e271367.5","doi-asserted-by":"crossref","DOI":"10.1016\/j.heliyon.2024.e31757","article-title":"Nontuberculous mycobacterial disease in children: A systematic review and meta-analysis","volume":"10","author":"Jiang","year":"2024","journal-title":"Heliyon"},{"key":"2026082803551186000_19.8.e271367.6","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0147513","article-title":"Nontuberculous Mycobacterial Disease in Children - Epidemiology, Diagnosis & Management at a Tertiary Center","volume":"11","author":"Tebruegge","year":"2016","journal-title":"PLoS One"},{"key":"2026082803551186000_19.8.e271367.7","doi-asserted-by":"publisher","DOI":"10.1097\/inf.0000000000002658"},{"key":"2026082803551186000_19.8.e271367.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2015.02.010"},{"key":"2026082803551186000_19.8.e271367.9","unstructured":"British Association for Paediatric Otorhinolaryngology . Non-Tuberculous Mycobacterial Cervical Lymphadenitis (NTMCL): guideline for investigation and management. 2024. 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