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Question of the Week

Question :

Posted On : 09 May 2005

IS THERE ANY TREATMENT FOR MESENTERIC LYMPHADENITIS?

Expert Answer :

No expert answer available.

Answer Discussion :

P

Pravin G. Patel

Antibiotics are used if evidence of bacterial infection is present .Broad spectrum antibiotic should be started empirically to cover common pathogens. Numerous organisms have been cultured from mesenteric lymph nodes and blood. Organisms include beta-hemolytic streptococcus, Staphylococcus species, Escherichia coli, Streptococcus viridians, Yesinia species {apparently responsible for most cases currently}, Mycobacterium tuberculosis, Giardia lamblia, and non–Salmonella typhoid. Viruses such as coxsackieviruses {A and B}, rubeola virus, and adenovirus serotypes 1, 2, 3, 5, and 7, have been implicated.
Select antibiotic from this drugs covering enteric pathogens {trimethoprim-sulfamethoxazole {TMP-SMX}, third-generation cephalosporins, fluoroquinolones, aminoglycosides, and doxycycline}
Sufficient hydration and pain medication should be given
Refer for surgical intervention for acute abdomen if any

19 years ago

A

ahmed

no

19 years ago

Z

Zafar khan

yes

19 years ago

D

dr,gautam kr de

yes
antibiotics-antistreptoccal for 10 days

19 years ago

P

pediatriconcall

For mesenteric lymphadenitis, one has to find the cause and treat accordingly. Rule out TB, HIV, yersinia and even other viral infections.

19 years ago

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