Lymphadenitis, cervical

The goals of therapy for streptococcal pharyngitis are to eradicate infection in order to prevent complications, shorten the disease course, and reduce infectivity and spread to close contacts. Sequelae that can be prevented by antibiotic use are peritonsillar or retropharyngeal abscess, cervical lymphadenitis, and rheumatic fever. There is no evidence that antibiotic use has an impact on the incidence of poststreptococcal glomerulonephritis. 

Nonsuppurative comphcations such as acute rheumatic fever, acute glomerulonephritis, and reactive arthritis may occur, as well as suppurative complications, such as peritonsillar abcess, retropharyngeal abscess, cervical lymphadenitis, mastoiditis, otitis media, sinusitis, and necrotizing fascutis. 

The goals of treatment of pharyngitis are to improve clinical signs and symptoms, minimize adverse drug reactions, prevent transmission to close contacts, and prevent acute rheumatic fever and suppurative complications, such as peritonsillar abscess, cervical lymphadenitis, and mastoiditis. ... 

Lymphadenitis mimicking Hodgkin disease has been described as a benign lymphadenopathy that can mimic interfollicular HL.11 420 Cervical lymph nodes are affected most often. There is no progression to lymphoma. The lymph nodes show follicular hyperplasia with a mottled interfollicular zone with epithelioid histiocytes, lymphocytes, eosinophils, and immuno-blasts. Some immunoblasts with prominent nucleoli resemble H/RSCs. However, their nucleoli are typically smaller and basophilic, in contrast to the eosinophilic nucleoli of H/RSCs. Immunohistochemistry distinguishes this disorder from interfollicular HL because... 

Indications Lung dryness with phlegm. Sore throat, bronchitis, tracheitis, laryngitis, pulmonary emphysema, cervical lymphadenitis, thyroiditis, and diabetes mellitus with polydipsia and polyuria... 

While asymptomatic infection with T. gondii resulting in a latent infection with tissue cysts is common in humans, symptomatic infection is much less frequent. In immunocompetent individuals, symptoms only occur in 10-20% of the cases infected people develop chorioretinitis, lymphadenitis, myocarditis, or polymyositis. Although any lymph node may be infected, the most common manifestation is asymptomatic cervical lymphadenopathy (Weiss and Dubey, 2009). 

A combination of rifampin and ethambutol is probably effective minocycline or tetracycline is active in vitro and is used by some physicians. M. scrofulaceum is an uncommon cause of cervical lymphadenitis that is treated with surgical excision. Microbes of the M. fortuitum complex (including Mycobacterium chelonae) may cause chronic lung disease and infections of skin and soft tissues. The microorganisms are highly resistant to most drugs, but amikacin, cefoxitin, and tetracyclines are active in vitro. 

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