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Inflammation of lymph nodes.



inflammation of the lymph nodes.

Lymphadenitis arises as a result of the entry with the lymph into the lymph nodes of pathogenic microorganisms and their toxins, products of tissue decomposition, or tiny foreign bodies. The condition is observed with acute and chronic local inflammatory processes (an infected wound, furuncle, ulcer, dental caries) and generalized infectious diseases and is manifested by enlargement and tenderness of the lymph nodes.

Depending on the causative agent and the character of the inflammation, lymphadenitis is classified as simple (catarrhal), purulent, hemorrhagic (for example, with anthrax), or hyper-plastic (with proliferation of the cellular elements of the node). It is classified as either acute or chronic, according to the course of the disease. Acute lymphadenitis begins with pain in the region of the affected nodes and enlargement of the nodes. With acute purulent lymphadenitis, the pain is severe. The nodes can barely move, surrounded by a painful infiltrate (a result of the involvement of surrounding tissues in the process, or periadenitis). The patient’s body temperature rises and his appetite is lost. The nodes may dissolve with the formation of an abscess. Without treatment, the pus either breaks through to the exterior or penetrates deeper, inflaming new tissues (adenophlegmon). Thrombophlebitis is possible.

Chronic lymphadenitis is characterized by enlargement, induration, and decreased mobility of the lymph nodes. Chronic nonspecific lymphadenitis develops under the influence of mild infection. Chronic specific lymphadenitis develops in connection with tuberculosis, syphilis, or other chronic infections.

Lymphadenitis is treated by eliminating the condition’s primary inflammatory focus or cause and by physical therapy, antibiotics, and novocaine blockade. Some cases require surgery.


References in periodicals archive ?
Tuberculous lymphadenitis as a cause of persistent cervical lymphadenopathy in children from a tuberculosis-endemic area.
Out of 74 Granulomatous lymphadenitis, 33 cases have positive x-ray findings.
Our study confirmed the effectiveness of pathological excision biopsy of intact cervical lymph nodes rather than fine-needle aspiration for tuberculous lymphadenitis and abscess.
12] It shows L/S <2 in lymphoma (78%), and bacterial lymphadenitis (73%) while L/S >2 in 91% of reactive nodes.
However, KD manifests with fever and cervical adenopathy and may be misdiagnosed as bacterial cervical lymphadenitis.
Keywords * Histiocytic necrotising lymphadenitis * Fever of unknown origin * Abdomen
6,7 Study conducted by Krishnaswammi and Job in 1972 reported 91 of 128 (71%) AFB positive lymph nodes having tuberculous lymphadenitis after ZN stain.
The excision may prevent the development of any immune response that might lead to severe complications like abscess, suppurative lymphadenitis, or necrosis.
It is essential to have awareness regarding common presentations of cervical tuberculous lymphadenitis among the general population as well as healthcare professionals working in the resource poor primary and secondary level hospitals.
Nine weeks of vancomycin and ceftriaxone followed by 8 weeks of cefdinir, doxycycline, and rifampin led to complete resolution of the lymphadenitis.
Prins, "Surgical excision versus antibiotic treatment for nontuberculous mycobacterial cervicofacial lymphadenitis in children: a multicenter, randomized, controlled trial," Clinical Infectious Diseases, vol.
Peripheral tuberculous lymphadenitis occurs predominantly in females and develops in people at ages younger than those of other tuberculous conditions [1, 2].