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Lymphadenitis

Contents of this page:

Illustrations

Lymphatic system
Lymphatic system
Staphylococcal lymphangitis
Staphylococcal lymphangitis
Immune system structures
Immune system structures

Alternative Names    Return to top

Lymph node infection; Lymph gland infection; Localized lymphadenopathy

Definition    Return to top

Lymphadenitis is an infection of the lymph nodes (also called lymph glands). It is a common complication of certain bacterial infections.

Causes    Return to top

The lymph system is a network of organs, lymph nodes, lymph ducts, and lymph vessels (or channels) that produce and move a fluid called lymph from tissues to the bloodstream. For more information on this part of the body, see lymph system.

The lymph glands, or nodes, are small structures that filter the lymph fluid. There are many white blood cells in the lymph nodes to help fight infection.

Lymphadenitis occurs when the glands become enlarged by inflammation, usually in response to bacteria, viruses, or fungi. The swollen glands are usually found near the site of an underlying infection, tumor, or inflammation.

Lymphadenitis may occur after skin infections or other bacterial infections, particularly those due to streptococcus or staphylococcus. Sometimes it is caused by rare infections such as tuberculosis or cat scratch disease (Bartonella).

Symptoms    Return to top

Lymph nodes may feel rubbery if an abscess has formed.

Exams and Tests    Return to top

The health care provider will perform a physical exam, which includes feeling your lymph nodes and looking for signs of injury or infection around any swollen lymph nodes.

A biopsy and culture of the affected area or node may reveal the cause of the inflammation. Blood cultures may reveal spread of infection to the bloodstream.

Treatment    Return to top

Lymphadenitis may spread within hours. Treatment should begin promptly.

Treatment may include:

Surgery may be needed to drain any abscess.

Outlook (Prognosis)    Return to top

Prompt treatment with antibiotics usually results in complete recovery, though it may take weeks, or even months, for swelling to disappear. The amount of time until recovery occurs will vary depending on the underlying cause.

Possible Complications    Return to top

When to Contact a Medical Professional    Return to top

Call your health care provider or go to the emergency room if you have symptoms of lymphadenitis.

Prevention    Return to top

Good general health and hygiene are helpful in the prevention of any infection.

References    Return to top

Armitage JO. Approach to the patient with lymphadenopathy and splenomegaly. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier. 2007: chap 174.

Update Date: 5/30/2009

Updated by: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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