Clinical profile and causes of mesenteric lymphadenitis in children
DOI:
https://doi.org/10.18203/2349-3291.ijcp20161036Keywords:
Mesenteric lymphadenitis, Clinical profile, Causes, UltrasonographyAbstract
Background: The aim was to study the clinical profile and causes of mesenteric lymphadenitis in children. The cases were selected from out patients and in patients admitted in various units of pediatric ward in velammal medical college hospital, Madurai over a period of 20 months from Nov 2013-June 2015.
Methods: This is a prospective observational study. A total 129 children who were clinically suspected to have mesenteric lymphadenitis during the study period under went abdominal ultrasonography. Out of which only 57 patients who fulfilled the inclusion criteria were studied. The clinical profile and causes of these cases were correlated and evaluated.
Results: It was found that 10.5% of cases presented as acute abdomen. Pain abdomen was the common complaint in 59.6% of cases, cough /cold in 36.8%, loose stools in 28%, while in the rest of the cases fever , nausea, vomiting were seen. The commonest cause of mesenteric lymphadenitis was found to be respiratory tract infection in 36.8% of patients followed by diarrhea 28%, urinary tract infection 12.2%, worm infestations 10.5%, enteric fever 7%, gastritis 5.2%.
Conclusions: The importance of mesenteric lymphadenitis lies in its differential diagnosis in cases of acute abdomen. Since correct diagnosis can avoid unnecessary surgical intervention.
References
Jernigan RW, Wrenn LE. Acute mesenteric lymphadenitis with suppuration: a case report. Annals of surgery. 1962;156:968-71.
Adams EW, Olney BM. Mesenteric Lymph adenitis and acute abdomen. Annals of surgery. 1938;107:359-70.
Austin WE. Nonspecific mesenteric lymphadenitis. Canad. M. A. J. 1950;62:244-8.
Collins CD. Mesenteric lymphadenitis in adolescents simulating appendicitis. The Canadian Medical association Journal. 1936;4022-55.
Satish K, Parames H, Hemalatha V, Khatib AS. Clinical profile of mesenteric lymph adenitis in children. Http;//www.paediatriconcall.com/for doctor/Conference_abstract/rep.
Leung KCA, Sigalet LD. Acute abdominal pain in children. Am Fam Physician. 2003;1:67(11):2321-7.
Simanovsky N, Hiller N. Importance of sonographic detection of enlarged abdominal lymph nodes in children. J Ultrasound Med. 2007;26:581-4.
Lucey BC, Stuhlfaut JW, Soto JA. Mesenteric lymph nodes seen at imaging: causes and significance. Radiographics. 2005;25:351-65.
Wiersma F, Gijsbers CFM, Holscher HC. Enlarged mesenteric lymph nodes in children with recurrent abdominal pain. https://openacess.leidenuniv.nl //06.pdf
Fukushima H, Nagasako R, Takeda I. Acute mesenteric lymphadenitis due to yersinia pseudo tuberculosis lacking a virulence plasmid. Journal of clinical microbiology. 1991;29:1271-5.
Alamdaran A. Diagnostic value of ultrasound findings in mesenteric lymph adenitis in children with acute abdominal pain. J. Radiol. 2005;2.
Aird I. Acute non- specific mesenteric lymph adenitis. British medical journal. 1945;17:680-2.
Fergurson G. Acute non-specific mesenteric lymph adenitis. Possible mechanism of pain illustrated by 2 cases. AMA Arch Surg. 1952;65:906-11.
Sikorska-Wisniewska G, Leberek A, Gebka MG. Mesenteric Lymphadenopathy- a valid health problem in children. Med WiekuRozwoj. 2006;10:453-62.
Shakya KN, Dongol UMS, Khadka SB. A study of abdominal pain in children. JNMA. 2008;47:193-6.
Mcfadden GDF. Mesenteric lymphadenitis and its clinical manifestations: with special reference to its differential diagnosis from appendicitis. The british medical journal. 1927;24:1174-7.
