Resistant cervical lymphadenitis in a 10-year-old child: case report

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Shalchi Zohreh; BORHANI KATAYOUN; Eshaghi Hamid; Khodabandeh Mahmoud

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Journal Paper

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Journal: Tehran University Medical Journal Year:2021 | Volume:79 | Issue:2 Page(s): 145-149

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Information Journal Paper

Title

Resistant cervical lymphadenitis in a 10-year-old child: case report

Author(s)

Shalchi Zohreh | BORHANI KATAYOUN | Eshaghi Hamid | Khodabandeh Mahmoud | Issue Writer Certificate

Keywords

coronary aneurysmQ1

lymphadenitisQ3

KawasakiQ3

Abstract

Background: Purulent cervical lymphadenitis presents with different manifestations such as fever and Erythema of the skin at the site of infection. The appropriate treatment for purulent lymphadenitis are antibiotics. If there is no response to antibiotic treatment, other causes should be considered, including uncommon infectious causes (for example Mycobacterium infections or fungal infections), malignancy and Kawasaki diseases, etc. This study aimed to introduce a child with suspected purulent cervical lymphadenitis, who was initially presented with purulent lymphadenitis and was treated with broad-spectrum antibiotics. Due to the lack of response to treatment, further laboratory and clinical examinations were performed for him, then he was diagnosed with Kawasaki disease. Case Presentation: A 10-year-old boy with fever and severe cervical lymphadenitis was referred to Tehran Children's Medical Center Hospital in May 2018. He had leukocytosis in his lab test and the acute reactant phase was high. He was diagnosed with purulent lymphadenitis and he was treated with broad-spectrum antibiotics. But no therapeutic response was observed, the patient's fever continued and erythrocyte sedimentation rate (ESR) increased in the laboratory tests. The patient's knee developed arthralgia, and Inflammation of the neck spread to the chest wall. Therefore echocardiography was performed. The patient's left anterior descending artery (LAD) had ectasia in echocardiography (LAD>2/5 SD). The patient was diagnosed with atypical Kawasaki disease, therefore the appropriate treatment was started for him and a dramatic clinical response was seen. His fever stopped and the patient's cervical lymphadenitis had completely improved. In the follow-up, the patient's left anterior descending artery (LAD) ectasia was resolved. Conclusion: Kawasaki disease is one of the causes of cervical lymphadenitis in children. If a patient with suspected purulent lymphadenitis is treated with appropriate antibiotics but no adequate response is seen, Kawasaki disease should be considered and the patient must be re-evaluated for Kawasaki disease.

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References

Kikuchi-Fujimoto disease in Michigan: a rare case report and review of the literature

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APA: Copy

Shalchi, Zohreh, BORHANI, KATAYOUN, Eshaghi, Hamid, & Khodabandeh, Mahmoud. (2021). Resistant cervical lymphadenitis in a 10-year-old child: case report. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 79(2 ), 145-149. SID. https://sid.ir/paper/393613/en

Vancouver: Copy

Shalchi Zohreh, BORHANI KATAYOUN, Eshaghi Hamid, Khodabandeh Mahmoud. Resistant cervical lymphadenitis in a 10-year-old child: case report. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2021;79(2 ):145-149. Available from: https://sid.ir/paper/393613/en

IEEE: Copy

Zohreh Shalchi, KATAYOUN BORHANI, Hamid Eshaghi, and Mahmoud Khodabandeh, “Resistant cervical lymphadenitis in a 10-year-old child: case report,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 79, no. 2 , pp. 145–149, 2021, [Online]. Available: https://sid.ir/paper/393613/en

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