Chronic lymphadenitis is inflammation or infection of a lymph node for an extended time. Lymph nodes are part of the immune system. This system fights and prevents infections. The lymph node’s job is to filter out unwanted substances, such as bacteria and viruses, and help eliminate them from the body.
Lymph nodes occur in clusters in the neck, armpits, and groin. Chronic lymphadenitis may affect one node, several nodes in one area, or nodes in many areas of the body.
Swollen Lymph Nodes
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Lymph nodes normally swell when fighting off an infection. In cases of more serious infection, the swelling may be prolonged. Lymphadenitis is usually caused by an infection that has spread to the lymph nodes from a skin, ear, nose, or eye infection. Other causes of lymphadenitis include: Infection with streptococcal or staphylococcal bacteriaTonsillitisHIV
Genital herpesMononucleosisJuvenile rheumatoid arthritisLeukemia or lymphomaSickle cell anemiaKawasaki disease
Chronic lymphadenitis is more common in children younger than 12 years of age. Factors that may increase your chance of developing chronic lymphadenitis include: Having one of the causes of lymphadenitisClose contact with someone who has one of the causes of lymphadenitisContact with animals, specifically cats, rats, or cows
Symptoms include: Swollen, painful, tender, or hard lymph nodes/glandsThe skin over a node is red and warm to the touch
Fever with the following symptoms:
ChillsLoss of appetiteHeavy perspirationRapid pulseGeneral weaknessDifficulty swallowingDifficulty breathingNeck stiffness
You will be asked about your symptoms and medical history. A physical exam will be done.
Your bodily fluids and tissue may be tested. This can be done with: Blood testsBlood cultureBiopsy of the lymph node
Images may be taken of your bodily structures. This can be done with ultrasound.
The sooner chronic lymphadenitis is treated, the more favorable the outcome, depending on the cause. If you suspect you have this condition, contact your doctor right away.
Treatment of chronic lymphadenitis depends on the cause. Talk with your doctor about the best treatment plan for you. Treatment options include the following:
Medications may be prescribed, such as: Antibiotics to control infection
Anti-inflammatory medications to help reduce inflammation and swelling; aspirin may be recommended for adults.
Note: Aspirin is not recommended for children or teens with a current or
recent viral infection. This is because of the risk of
syndrome. Ask your doctor which other medications are safe for your child.
Other treatments specific to the diagnosis
Hot, moist compresses on the lymph nodes can help relieve pain.
Surgery may be necessary to drain pockets of pus if they occur.
To help reduce your chances of getting chronic lymphadenitis, take the following steps: Seek prompt treatment of bacterial and viral infections. Contact your doctor at the first signs of infection.
Take steps to prevent getting an infection:
Practice good hygiene practices, such as washing your hands regularly.Avoid close contact with people who are sick.Eat a healthful diet that is low in saturated fat and rich in whole grains, fruits, and vegetables.
Lymphadenopathy. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed. Updated November 19, 2012. Accessed February 17, 2015.
Spleen and lymphatic system. Children's Healthcare of Atlanta website. Available at:
http://www.choa.org/Child-Health-Glossary/S/SP/Spleen-and-Lymphatic-System_KH_Parent. Updated June 2009. Accessed February 17, 2015.
Last reviewed February 2015 by Marcin Chwistek, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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