Medical Specialty >> Pediatrics

Doctors Lounge - Pediatrics Answers

Back to Pediatrics Answers List

If you think you may have a medical emergency, call your doctor or 911 immediately. Doctors Lounge (www.doctorslounge.com) does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Site.

DISCLAIMER: The information provided on www.doctorslounge.com is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician. Please read our 'Terms and Conditions of Use' carefully before using this site.

Date of last update: 9/9/2017.

Forum Name: Pediatric Topics

Question: 5 yo with swollen lymp node


 cyrbot - Tue Dec 12, 2006 10:34 pm

I have a 5 yo boy who has had a history of ear infections from infancy. At 9mo he got tubes and again at age 4. Last year he complained of neck pain and was subsequently admitted in the Hospital due to the swollen lymph nodes and fever. They intially thought it could be cat scratch, lukemia and other diseases. He was finally diagnosed with infected lymphnodes after many blood tests. They did the test that is sedimentary (sp?) and they said it was fine. Now he has a swollen lymph node on the right side and no other symptoms. Should I be concerned? I am wondering if something like lymphoma or lukemia could have been missed even though they were testing for all of it? Your help is very much appriciated and respected. Thank You!
 Dr. Safaa Mahmoud - Wed Dec 13, 2006 8:29 am

User avatar Hello,

Abnormal Lymph node enlargement tends to commonly result from infection / immune response, cancer.

Sometimes, following infection Lymph nodes remain permanently enlarged, though they should be non-tender, small (less the 1 cm), have a rubbery consistency and none of the characteristics described for malignancy or for infection. These are also known as 'Shotty Lymph nodes'.

Children with history of recurrent upper ear, throat infections tend to have clinically palpable lymph nodes. So, the probability that the lymph node you have noticed is due to previous infection in the area drained by this lymph node group is highly possible.

Nodes are generally considered to be normal if they are up to 1 cm in diameter.

Of significance, an increase in nodal size on serial examinations. Hence nodes that continue to grow in size are important and those that regress in size tend to be more reassuring.

I advise you to follow with your doctor for proper examination (to confirm if it is LN ) and further management accordingly.

Keep us updated.
Best regards.

| Check a doctor's response to similar questions

Are you a Doctor, Pharmacist, PA or a Nurse?

Join the Doctors Lounge online medical community

  • Editorial activities: Publish, peer review, edit online articles.

  • Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.

Doctors Lounge Membership Application

Tools & Services: Follow DoctorsLounge on Twitter Follow us on Twitter | RSS News | Newsletter | Contact us