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Updated: May 5, 2026

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Clinical Characteristics and Diagnostic Correlation of Pediatric Lymphadenopathy in a Secondary-Level Hospital in

Eyleen Pacheco Narváez1, Karina Pastor-Sierra2, Nany Castilla Herrera1

  • 1Especialista en Pediatría, Facultad de Ciencias de la Salud, Universidad del Sinú E.B.Z., Montería 230001, Colombia.

Children (Basel, Switzerland)
|May 4, 2026
PubMed

Insights

Pediatric lymphadenopathy in Colombia typically presents as small cervical nodes with limited diagnostic testing. This study highlights documentation patterns and initial work-up in secondary care, informing potential pathway standardization.

Area of Science:

  • Pediatric Medicine
  • Clinical Epidemiology
  • Public Health in Latin America

Background:

  • Pediatric lymphadenopathy is a frequent clinical presentation.
  • Data on secondary-level care for pediatric lymphadenopathy in Latin American middle-income countries is scarce.
  • Understanding local practices is crucial for improving patient care.

Purpose of the Study:

  • To characterize the clinical presentation of pediatric lymphadenopathy.
  • To evaluate the quality of medical record documentation.
  • To assess the utilization of diagnostic tests in a Colombian secondary-level hospital.

Main Methods:

  • Retrospective descriptive study of 246 pediatric patient records (January 2020 - June 2024).
  • Data extraction included sociodemographics, lymph node characteristics, and diagnostic tests.
  • Analysis of documented clinical assessment features.

Main Results:

  • Median age was 6 years; 58.9% were male; 79.7% urban residents.
  • Cervical lymphadenopathy (87.8%) predominated, with nodes typically ≤1 cm (59.3%).
  • Complementary testing was infrequent (e.g., CBC 37.8%, ultrasound 7.7%).

Conclusions:

  • Pediatric lymphadenopathy in this setting often involves small cervical nodes with limited diagnostic work-up.
  • The study provides insights into documentation and initial management in Colombian secondary care.
  • Findings can guide the development of standardized assessment and referral protocols.
Abstract

Keywords:
cervicalchildlymph nodeslymphadenopathy

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