Tuberculosis of the cervical lymph nodes is mostly seen in children and young adults, and may be secondary to pulmonary and bronchial tuberculosis in 5% of patients. It presents as multiple enlarged, hard lymph nodes of varying size in the neck. They may later adhere to the surrounding tissue. In late stages, they may become necrotic and liquefied, forming abscesses. It can also be followed by purulent bacterial infection. A small number of patients have symptoms such as low-grade fever, loss of appetite, and night sweats. Treatment starts with systemic anti-tuberculosis medication. For localized, larger lymph nodes that can be pushed, surgical excision is feasible; for abscesses that are not broken, puncture and pus aspiration is feasible; for those who form sinus tracts or ulcers, scraping and open drainage are feasible; for secondary purulent infections, incision and drainage are needed first, and then scraping again if necessary after infection control.