Management of suppurative cervical lymphadenitis in a healthy 24-year-old man.
Unilateral suppurative cervical lymphadenitis is characterized by acute onset of 1 or more tender cervical lymph nodes and can lead to fever, cellulitis, abscess formation, and bacteremia. This form of lymphadenitis is usually caused by gram-positive bacteria. The present case details the treatment of a previously healthy 24-year-old man who presented with an acutely inflamed cervical lymph node. The patient did not respond to antibiotic monotherapy or combination antibiotics but recovered rapidly after methylprednisolone and osteopathic manipulative treatment were added to his care.
Nova Southeastern University College of Osteopathic Medicine in Fort Lauderdale, Florida, USA. hmarlow@nova.edu
Marlow
M
Hernandez
Rayhanur
R
Chowdhury
John
J
Woods
Jorge
J
Cabrera
Patrick C
PC
Hardigan
D019980:Amoxicillin-Potassium Clavulanate Combination / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D002506:Cephalexin / Q000627:therapeutic use; D002981:Clindamycin / Q000627:therapeutic use; D006801:Humans; D008199:Lymphadenitis / Q000188:drug therapy / Q000628:therapy*; D008297:Male; D026301:Manipulation, Osteopathic / Q000379:methods*; D008775:Methylprednisolone / Q000627:therapeutic use; D008795:Metronidazole / Q000627:therapeutic use; D011500:Protein Synthesis Inhibitors / Q000627:therapeutic use; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use; D055815:Young Adult
D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents; D011500:Protein Synthesis Inhibitors; D008795:Metronidazole; D002981:Clindamycin; D019980:Amoxicillin-Potassium Clavulanate Combination; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D002506:Cephalexin; D008775:Methylprednisolone