Diagnostic des adénites infectieuses

Melenotte, Cléa; Edouard, Sophie; Lépidi, Hubert; Raoult, Didier

doi:10.1016/j.revmed.2015.04.004

Cited by 8 publications

(2 citation statements)

References 54 publications

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“…Surgical management is indicated only when the suspicion of malignancy is high or when the lymph node is complicated by large colliquation or chronic draining sinus [6,30]. Definitive diagnosis is made on histology and microbiological investigation to search aerobic and anaerobic bacteria, fungal, and mycobacterial organisms through PCR and cultures of the piece of the lymph node excised [28,31]. Excisional biopsy is the treatment of choice for cervical lymphadenopathy caused by atypical mycobacteria [23].…”

Section: Investigationmentioning

confidence: 99%

Management of Infectious Lymphadenitis in Children

et al. 2021

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Lymphadenopathy is an irregularity in the size and texture of the lymph nodes, which is quite common in childhood. When the enlargement of lymph nodes is caused by inflammatory and infectious processes, it is called lymphadenitis. The main objective of this manuscript is to summarize the common infectious etiologies and presentations of lymphadenitis in children providing a management guide for clinical practice. PubMed was used to search for all of the studies published up to April 2021 using keywords such as “lymphadenitis” and “children”. Literature analysis showed that the differential diagnosis for lymphadenitis in pediatrics is broad. Although lymph node enlargement in children is usually benign and self-limited, it is important to exclude malignant etiology. In most cases, history and physical examination allow to identify the correct diagnosis and start a proper treatment with a prompt resolution of the lymphadenopathy. However, particularly in the case of persistent lymphadenitis, determining the cause of lymph node enlargement may be difficult, and the exact etiology may not be identified despite extensive investigations. Further studies should develop and validate an algorithm to assist pediatricians in the diagnosis and timely treatment of lymphadenitis, suggesting situations in which a watchful waiting may be considered a safe approach, those in which empiric antibiotic therapy should be administered, and those requiring a timely diagnostic work-up.

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Section: Investigationmentioning

confidence: 99%

Management of Infectious Lymphadenitis in Children

et al. 2021

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“…were the primary infectious agents commonly found in lymph nodes. However, with the use of new diagnostic tools, new emerging microorganisms responsible for lymphadenitis have been recognized, including zoonotic pathogens [2]. Microorganisms causing focal lymphadenitis usually enter through mucous membranes or damaged skin directly, having the source in respiratory tract aerosol or droplets of infected persons or animals (i.e.…”

Section: Introductionmentioning

confidence: 99%

Vector-Borne Zoonotic Lymphadenitis – the Causative Agents, Epidemiology, Diagnostic Approach and Therapeutic Possibilities – An Overview

Oršolić,

Bogdanić,

Balen Topić

2023

Preprint

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Besides common skin pathogens, acute focal lymphadenitis in humans can be caused by a zoonotic pathogen in rare cases. Furthermore, it can develop in absence of any direct or indirect contact with infected animal in cases when the microorganism is transmitted by vector. This clinical entity is rare, and therefore not easily recognized in most regions, yet many zoonotic illnesses are considered emerging or re-emerging nowadays. Focal zoonotic vector-borne lymphadenitis and its numerous causative agents with their variegated clinical manifestations have been described in some case reports and small case series. Therefore, we tried to summarize those data in this narrative overview, with the aim to rise clinical awareness, which could improve clinical outcomes. This overview briefly covers reported pathogens, their vectors and geographic distribution, as well as their main clinical manifestations, diagnostic possibilities and recommended therapy. Vector-borne tularemia, plague, bartonellosis, rickettsioses, borreliosis and Malayan filariasis are mentioned. According to the existing data, when acute focal bacterial vector-borne zoonotic lymphadenitis is suspected, in severe or complicated cases it seems prudent to apply combined aminoglycoside (or quinolone) plus doxycycline as an empirical therapy, pending definite diagnostic results. In this field the „one health approach” and further epidemiological and clinical studies are needed.

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Neck Lesions

Gilani

2023

Non-Neoplastic Cytology

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Diagnostic des adénites infectieuses

Cited by 8 publications

References 54 publications

Management of Infectious Lymphadenitis in Children

Management of Infectious Lymphadenitis in Children

Vector-Borne Zoonotic Lymphadenitis – the Causative Agents, Epidemiology, Diagnostic Approach and Therapeutic Possibilities – An Overview

Neck Lesions

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