Management of cervical lymphadenitis in children

Carolinas Medical Center, Eastland Department of Family Medicine, Charlotte, North Carolina, USA.
American family physician (Impact Factor: 2.18). 12/2008; 78(9):1097-8.
Source: PubMed
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    • "Forty to eighty percent of cases of acute unilateral cervical lymphadenitis of 1- to 4-year old children are due to S. aureus or S. pyogenes1). Antibiotics should be targeted against S. aureus and group A streptococcus , and should include a 10-day course of oral cephalexin, amoxicillin/clavulanate, or clindamycin9). In most cases, symptomatic improvement should be noted after 2 to 3 days of therapy, although complete resolution of nodal enlargement may require several weeks2). "
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    ABSTRACT: This study aimed to evaluate the usefulness of the needle aspiration alternative to open surgical drainage of children with suppurative cervical lymphadenitis requiring surgical drainage. From January 1998 to June 2008, we retrospectively reviewed 38 children treated with needle aspiration as management with suppurative cervical lymphadenitis instead of open surgical drainage. All 38 children underwent only 1 puncture. Two patients (5.2%) out of 38 patients experienced reformation of an abscess and all recovered completely after re-treatment with antibiotics. Minor complications were detected in 2 patients (5.2%). One complication originated from remnant necrotic tissue and the other involved formation of a small scar in two patients, which resolved spontaneously. There were no major complications. Needle aspiration can be a simple, safe, and effective alternative procedure to open surgical drainage of children with suppurative cervical lymphadenitis requiring surgical drainage.
    Korean Journal of Pediatrics 08/2010; 53(8):801-4. DOI:10.3345/kjp.2010.53.8.801
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    ABSTRACT: Lesions involving the pediatric neck are common and may involve any of the soft tissue, vascular, or osseous structures contained within this space. Imaging evaluation of the neck in children can be challenging. Computed tomography and magnetic resonance imaging provide excellent spatial resolution and superior tissue contrast, respectively, but have inherent limitations if used in children. Ultrasound provides a relatively risk-free, rapid, noninvasive imaging modality that is particularly useful in children. Ultrasound has been accepted as an effective means of imaging the neck in children for a variety of indications, including the initial evaluation of palpable masses and conditions affecting the thyroid gland. This article examines the use of ultrasound in the imaging evaluation of pediatric neck abnormalities.
    Ultrasound Clinics 10/2009; 4(4):553-569. DOI:10.1016/j.cult.2009.10.001
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    ABSTRACT: Kikuchi-Fujimoto disease (histiocytic necrotizing lymphadenitis) is a rare disease characterized by lymphadenitis with fever. It is self-limited within one to four months, and is generally diagnosed by an excisional biopsy of the affected lymph node. Kikuchi-Fujimoto disease has a wide variety of nonspecific symptoms and it is sometimes misdiagnosed as malignant lymphoma, lymph node tuberculosis, or systemic lupus erythematosus. Because clinical course and treatment of this disease differ from those of others, Kikuchi-Fujimoto disease must be included in differential diagnosis of enlarged lymph node. In this report, we discribed a case of 24-year-old male patient who visited the clinic complaining of fever, petechiae, and enlarged lymph node. He was diagnosed as Kikuchi-Fujimoto disease and immune thrombocytopenic purpura.
    Korean Journal of Family Medicine 01/2010; 31(1). DOI:10.4082/kjfm.2010.31.1.51
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