Lymphadenitis (neck)

Case contributed by Jeremy Jones
Diagnosis certain

Presentation

Generalized swelling of the neck and submandibular region. Tender. Red. Pyrexia.

Patient Data

Age: 2 years
Gender: Male
ultrasound

Generalized left submandibular swelling with a central hypoechoic rounded lymph node. Appearances are of lymphadenitis without collection.

The rounded lymph node retains a normal fatty hilum.

Case Discussion

Lymphadenitis is a reasonably common presentation in children. They present with swelling and redness. An ultrasound is not required unless there are red flags, e.g. prolonged swelling, pain, worsening symptoms despite antibiotics.

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