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cervical lymphadenopathy
lymphadenopathy in the region of the cervical spine
Etiology:
1) in the case of pharyngitis:
- enlarged & tender anterior cervical nodes suggests bacterial infection (group A Streptococcus)
- enlarged & tender posterior cervical nodes suggests viral infection
2) other
- mycobacterial infection
- Bartonella infection
- malignancy
Laboratory:
- rapid strep screen if 2 of 3 Centor criteria
- screening for tuberculosis
- screening for Bartnella
- Bartonella antibody in serum
- Bartonella DNA
Special laboratory:
- excisional biopsy if unresponsive to antibiotics
General
lymphadenopathy
References
- Medical Knowledge Self Assessment Program (MKSAP) 14,
American College of Physicians, Philadelphia 2006
- Meier JD, Grimmer JF.
Evaluation and management of neck masses in children.
Am Fam Physician. 2014 Mar 1;89(5):353-8. Review.
PMID: 24695506
- Geddes G, Butterly MM, Patel SM, Marra S.
Pediatric neck masses.
Pediatr Rev. 2013 Mar;34(3):115-24; Review.
PMID: 23457198