Case 4

An eleven month old infant developed swelling of the left side of the neck. Child was well until 4 days prior to admission when he developed URI symptoms and fever. The neck mass was noted on the day of admission. The mass was tender. Bacterial adenitis was suspected and treatment was begun with oral cefaclor. Two days later, the mass continued to increase in size and the child remained febrile. Examination revealed an irritable, febrile child with left submandibular swelling. The swelling measured 2 X 2.5" in diameter; it was warm, tender and red. It felt firm but had central softening. There were no other palpable nodes. Other remarkable findings included mucoid nasal discharge. An incision and drainage was done. Pus was sent to microbiology laboratory for-diagnostic tests.

Questions

2. Describe the pathogenesis of cervical lymphadenitis.   Answer

3. What is known about the transmission of the agents?   Answer

4. How is the etiologic diagnosis established? Discuss the role of tuberculin skin test in the diagnosis of mycobacterial adenitis.  Answer

5. Describe the modes of treatment of acute, subacute and chronic bacterial adenitis.   Answer

6. Are there any long-term consequences of cervical adenitis?  Answer