Symptoms of acute lymphadenitis in children?

summary

Childhood acute lymphadenitis is an acute, chronic or tuberculous retroperitoneal lymphadenitis caused by bacterial, viral or mycobacterial infection. It is difficult to diagnose the disease before operation. Rapid ESR, tuberculous lesions in other parts, abdominal mass and low fever were common abnormal manifestations. X-ray, B-ultrasound and CT, tuberculosis antibody or tuberculin test are helpful for the diagnosis. The final diagnosis depends on biopsy. Symptoms of acute lymphadenitis in children? Let's talk about it.

Symptoms of acute lymphadenitis in children?

1. The main symptoms of acute retroperitoneal lymphadenitis are high fever and shivering, accompanied by abdominal pain, abdominal distension, low back pain, nausea and vomiting. The body temperature can reach 39-40 ℃. Physical examination showed abdominal tenderness and rebound pain, but muscle tension was not obvious. Severe cases may have signs of intestinal paralysis, low back percussion pain, white blood cell count may be increased.

2. Chronic or tuberculous retroperitoneal lymphadenitis. Mycobacterium tuberculosis can invade retroperitoneal lymph nodes. It can also be used as a local component of primary syndrome or a result of extensive dissemination of tuberculosis. The affected lymph nodes can be treated asymptomatic and eventually calcified. Some lymph nodes were enlarged, experienced caseous necrosis, and even formed abscess. The onset of the disease is often insidious, and the symptoms are vague or even lacking. The main symptoms are abdominal persistent or paroxysmal dull pain or distending pain, accompanied by low fever, nausea, vomiting, abdominal distension, loss of appetite, etc. the abdominal pain of this disease can be intermittent attack, and the effect is often poor after anti infection or anti tuberculosis and spasmolysis treatment. Abdominal examination can touch mass or local full, deep tenderness, no abdominal muscle tension, bowel sounds active.

3. It should be differentiated from lymphoma, pancreatic cancer, retroperitoneal or mesenteric tumor, sarcoidosis, appendicitis, adnexitis, malignant tumor, benign lymphoid hyperplasia and infectious mononucleosis.

matters needing attention

For the more limited mass or the compression of adjacent organs, the non-surgical treatment is ineffective, surgical resection can be used. Prevention of tuberculosis is the root cause of the disease.