Cervical lymphadenitis in Child
Alerts and Notices
Synopsis

Cervical lymphadenitis refers to inflammation or enlargement of the cervical lymph nodes. Lymph node enlargement is secondary to a reactive process or infection in the region drained by the cervical lymph nodes or due to cellular duplication within the lymph node. Physical examination may reveal fever, tender cervical lymphadenopathy, erythema overlying the involved lymph node, neck pain, neck stiffness, or torticollis.
Common risk factors include symptoms of an upper respiratory infection such as rhinorrhea, coryza, conjunctivitis, fever, or earache, recent dental work, poor dentition / oral hygiene, or contact with animals such as kittens or livestock.
Careful history and physical exam of the neck for unilateral or bilateral enlargement and other nodes for enlargement is an important first step in establishing an underlying cause.
Common risk factors include symptoms of an upper respiratory infection such as rhinorrhea, coryza, conjunctivitis, fever, or earache, recent dental work, poor dentition / oral hygiene, or contact with animals such as kittens or livestock.
Careful history and physical exam of the neck for unilateral or bilateral enlargement and other nodes for enlargement is an important first step in establishing an underlying cause.
Codes
ICD10CM:
I88.9 – Nonspecific lymphadenitis, unspecified
SNOMEDCT:
3502005 – Cervical lymphadenitis
I88.9 – Nonspecific lymphadenitis, unspecified
SNOMEDCT:
3502005 – Cervical lymphadenitis
Differential Diagnosis & Pitfalls
- Pharyngitis (eg, streptococcal pharyngitis)
- Viral upper respiratory infection
- Dental abscess / infection
- Soft tissue and skin infections (eg, cellulitis)
- Cat-scratch disease
- Lymphoma
- Squamous cell carcinoma of the head and neck
- Metastatic carcinoma
- Granulomatous disease
- Tuberculosis
- Rubella
Best Tests
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Drug Reaction Data
Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.
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References
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Last Updated:04/17/2016