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- Title
Acute adenitis in children: Clinical course and factors predictive of surgical drainage.
- Authors
Luu, Thuy Mai; Chevalier, Isabelle; Gauthier, Marie; Carceller, Ana Maria; Bensoussan, Arie; Tapiero, Bruce
- Abstract
Objectives: To describe clinical course of children hospitalized for a first episode of acute unilateral infectious adenitis and to identify factors predictive of surgical lymph node drainage.Methods: We reviewed medical records of children from 0 to 17 years of age discharged from a tertiary care pediatric center with a diagnosis of adenitis between 1 April 1996 and 31 March 2001. Patients were included if they had acute (≤10 days) unilateral lymph node swelling greater or equal to 2.5 cm on initial physical examination. Exclusion criteria were: bilateral adenitis or adenitis at more than one site; prior adenitis; underlying chronic disease.Results: Two hundred and eighty-four patients were included in this study. The mean age was 4.0 years (3.1 SD). Twenty-three per cent of infected nodes were>5 cm in size and 92.6% were cervical. Thirteen of 252 blood cultures were positive (5.2%), of which one showedStreptococcus pneumoniaeand 12 contaminants. Mean length of stay was 4.2 days (2.2 SD). Surgical node drainage was performed in 60 (21.1%) patients. Factors significantly associated with increased risk of surgical drainage were age<1 year (adjusted OR: 14.5; 95% CI: 5.0–42.2) and node involvement>48 h (adjusted OR: 2.9; 95% CI: 1.2–7.2). There were no major complications. Follow-up was documented in 183 patients, of whom 92.3% achieved complete healing.Conclusions: Children hospitalized for a first episode of acute unilateral infectious adenitis generally do well. Younger patients and those with longer duration of node involvement before admission have an increased risk of surgical node drainage.
- Subjects
LYMPHADENITIS; SURGICAL drainage; CHILDREN'S health; LYMPH nodes; PEDIATRICS; JUVENILE diseases
- Publication
Journal of Paediatrics & Child Health, 2005, Vol 41, Issue 5/6, p273
- ISSN
1034-4810
- Publication type
Article
- DOI
10.1111/j.1440-1754.2005.00610.x