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Acute adenitis in children: clinical course and factors predictive of surgical drainage

Thuy Mai Luu1, Isabelle Chevalier, Marie Gauthier

  • 1Department of Pediatrics, Hôpital Sainte-Justine, Montreal, Québec, Canada.

Journal of Paediatrics and Child Health
|June 15, 2005
PubMed

Insights

Children hospitalized for acute unilateral infectious adenitis typically recover well. Infants under one year and those with prolonged symptoms face a higher risk of requiring surgical drainage for infected lymph nodes.

Area of Science:

  • Pediatric infectious diseases
  • Surgical outcomes in children
  • Clinical course of adenitis

Background:

  • Acute unilateral infectious adenitis is a common pediatric condition.
  • Understanding its clinical course and predictors of surgical intervention is crucial for patient management.
  • Previous studies have not fully elucidated factors influencing surgical drainage in this population.

Purpose of the Study:

  • To describe the clinical course of children hospitalized for their first episode of acute unilateral infectious adenitis.
  • To identify factors that predict the need for surgical lymph node drainage.

Main Methods:

  • Retrospective review of medical records for children aged 0-17 years diagnosed with adenitis.
  • Inclusion criteria: acute unilateral lymph node swelling (≥2.5 cm, <10 days duration).
  • Exclusion criteria: bilateral or multifocal adenitis, prior adenitis, chronic diseases.

Main Results:

  • 284 children were included; mean age 4.0 years. Most cases (92.6%) involved cervical lymph nodes.
  • Surgical drainage was performed in 21.1% of patients. Factors predicting surgery included age < 1 year (OR 14.5) and symptom duration > 48 hours (OR 2.9).
  • No major complications were reported; 92.3% of patients achieved complete healing upon follow-up.

Conclusions:

  • Children hospitalized for acute unilateral infectious adenitis generally experience favorable outcomes.
  • Younger age (infants) and longer duration of symptoms before hospital admission are significant risk factors for requiring surgical lymph node drainage.
Abstract

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