Suppurative cervical lymphadenitis in adult: An analysis of predictors for surgical drainage

Srivanitchapoom, Chonticha; Yata, Kedsaraporn

doi:10.1016/j.anl.2020.04.007

Cited by 4 publications

(3 citation statements)

References 24 publications

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“…For example, short-term steroids may be needed if the patient is severely uncomfortable or in pain due to adenopathy. Additionally, should pain be severe or antibiotic treatment be inadequate, surgical drainage with continued broadened antibiotic coverage should be performed [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Unveiling the Uncommon: A Rare Case of Group A Streptococcus Axillary Lymphadenitis With Ambiguous Presentation Leading to Multiple Misdiagnoses

Badaro,

Passeggiata,

Casio

et al. 2024

Cureus

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Axillary lymphadenitis in adults presents a diagnostic challenge due to its diverse etiology and variable clinical manifestations. We present a rare case of suppurative Group A Streptococcus (GAS) axillary lymphadenitis secondary to a puncture wound, emphasizing the critical importance of differential diagnosis and immediate intervention. A 36-year-old male initially presented with left axillary pain and discomfort following a traumatic injury to the left thumb. Despite multiple healthcare encounters and misdiagnoses including viral illness and shingles, the patient's condition deteriorated, manifesting as fever, edema, and erythema in the left axilla. This case underscores the paramount significance of considering lymphadenitis in patients with axillary symptoms, particularly following trauma or skin breaches. Early recognition and appropriate management are crucial to prevent grave complications such as abscess formation, thrombophlebitis, and bacteremia. Streptococcal axillary lymphadenitis should be included at the forefront of the differential diagnosis to expedite treatment and mitigate potential life-threatening consequences associated with delayed diagnosis.

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Section: Discussionmentioning

confidence: 99%

Unveiling the Uncommon: A Rare Case of Group A Streptococcus Axillary Lymphadenitis With Ambiguous Presentation Leading to Multiple Misdiagnoses

Badaro,

Passeggiata,

Casio

et al. 2024

Cureus

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“…In the first, which is serious, the treatment is oral or parenteral administration of antibiotics. During the subsequent stages of inflammation of the lymph nodes, in which pus has already formed in the capsule of the lymph node (second stage), or its capsule has lysed and the pus has come out into the adjacent soft tissues (third stage), the therapy is not only antibacterial but also operative (evacuation of the available pus) [1,2]. It usually takes several days (usually two to five) for the final isolation of the pathogen causing the infection and the preparation of an antibiogram.…”

Section: Discussionmentioning

confidence: 99%

“…Of these, 15.75% (a total of 0.86% of all hospitalized patients) had purulent inflammation of an affected lymph node, of a group of adjacent lymph nodes, or with an abscess of the soft tissues adjacent to the inflamed lymph node. The goal of surgical treatment in these patients is to evacuate the formed pus with subsequent lavage and drainage of the affected anatomical lodge [1]. The surgical treatment in them is always accompanied by antibacterial application [2].…”

Section: Introductionmentioning

confidence: 99%

The Etiological Bacterial Spectrum of Neck Abscesses of Lymph Node Origin - Gram-Positive and Gram-Negative Bacteria

Yankov

2023

Cureus

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According to our medical practice as maxillofacial and oral surgeons, operated patients with purulent infections of the cervical lymph nodes are not many in number. On the other hand, the presence of a purulent infection requires not only the surgical evacuation of the pus but also the application of antimicrobial preparations. This necessitates good knowledge of the spectrum of the bacterial causative agents of the disease, the determination and analysis of which is the purpose of this original article. The bacteria studied in 181 patients with a mean age of 26.25 years, ranging between 29 days and 82 years, who underwent surgery for suppurating cervical lymph nodes, were retrospectively analyzed over a period of eight years. No bacteria were found in 69 of them. In 83 (74.11%) of the remaining 112 studied patients, the isolated microorganisms were of the gram-positive spectrum -Staphylococcus aureus (n=34), gram-positive resident microflora represented by more than one bacterial species (n=21), Staphylococcus hemolyticus (n=10), Staphylococcus epidermidis (n=9) and beta-hemolytic streptococci (n=9). Gram-negative bacteria were 25.89% (n=29) -Klebsiella pneumoniae (n=8), Bartonella henselae (n=7), Klebsiella oxytoca (n=6), Enterobacter cloacae (n=5) and Flavimonas oryzihabitans (n=3). No anaerobic and fungal microorganisms were isolated. Therefore, antimicrobial therapy in these patients should be directed against both gram-positive and gramnegative bacteria, which in our study were represented in a ratio of approximately three to one in favor of gram-positive microorganisms. Otherwise, we create a prerequisite for the formation of phlegmon on the neck, which hides real chances for the lives of patients.

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An assessment of radiology resident competency in identifying suppurative retropharyngeal lymphadenitis: an examination using the WIDI SIM platform

Raviprasad,

Pierre,

Kang

et al. 2024

Emerg Radiol

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Suppurative cervical lymphadenitis in adult: An analysis of predictors for surgical drainage

Cited by 4 publications

References 24 publications

Unveiling the Uncommon: A Rare Case of Group A Streptococcus Axillary Lymphadenitis With Ambiguous Presentation Leading to Multiple Misdiagnoses

Unveiling the Uncommon: A Rare Case of Group A Streptococcus Axillary Lymphadenitis With Ambiguous Presentation Leading to Multiple Misdiagnoses

The Etiological Bacterial Spectrum of Neck Abscesses of Lymph Node Origin - Gram-Positive and Gram-Negative Bacteria

An assessment of radiology resident competency in identifying suppurative retropharyngeal lymphadenitis: an examination using the WIDI SIM platform

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