Lymphadenitis in children ICD 10. Neckline lymphadenitis

Lymphadenitite is called inflammatory processwhich takes place in lymph nodes and is a response of the body to penetrating pathogenic bacteria and viruses into the organism. This disease rarely occurs as an independent, most often it accompanies other inflammatory processes. Leukocytes are activated in lymph nodes for the speedy destruction of the infection, when some organ does not cope with it alone.

Two types of lymphadenitis are distinguished - specific and nonspecific. Specific lymphadenitis B. childhood It is rare quite rare, as it arises against the background of diseases such as syphilis, tuberculosis, plague or actinomycosis. Children are observed, as a rule, a non-specific form of lymphadenitis, for which the presence of specific foci of inflammation is characteristic. The pathogens in this case are bacteria-carriers of a purulent infection - staphylococci or streptococci. Provice lymphadenitis can inflammation of a local character - furuncula, deep and fusing wounds, so the treatment of such problems is better to entrust the specialist.

The reasons

The cervical lymphadenitis in children is the most common form of this disease, because there is a cold, angina, influenza and tonsillitis. Lymph nodes can also be inflated during scarletin and diphtherite, in more rare cases - with pneumonia. Sometimes caries and other dental problems apply to the neck area and cause an inflammatory process in one or several nodes.

Purulent bacteria from the affected organ (pharynx, almonds, gaymorovy sinus etc.) fall along with blood flow in lymph, and then lum ph nations located next to the hearth infection.

The disease occurs in acute or chronic form. Chronic lymphadenitis accompanies every cold, which is largely the low immunity of the child contributes to. The main reasons are sinusitis, otitis, sinusitis, tonsillitis. Acute lymphadenitis is peculiar to purulent processes.

Increased susceptibility of children to pathogenic microorganisms is related to the fact that, aged from 6 to 10 years, lymphoid formations are in the stage of active growth and development. In this regard, their barrier and filtration function has not yet been formed finally, and lymph nodes as elements immune protection Engaged in various pathological processes.

Symptoms

With lymphadenitis, cervical and submandibular are inflamed, less often - eye or occipital lymph nodes. At the initial stage, small seals appear in the top of the top of the neck, the touch to which the pain causes. The overall condition of the child is satisfactory, the temperature may be normal or slightly elevated, lymph nodes remain movable and do not have a pronounced skin reaction. This condition lasts from 1 to 3 days, then goes to the next stage, and well-being deteriorated sharply:

• the temperature rises to 39-40 degrees;
• appears headache and severe weakness;
• appetite is absent;
• restless sleep, the child often wakes up;
• lymph nodes are extremely painful.

At this stage in the area lymph nodes Swells and redness appear, pain acquires a shooting and more character, sometimes there is perioditis (inflammation of nearby tissues). The danger of this state is that adenoflemond can develop, and purulent inflammation will spread beyond the limits of the affected lymph node. The appearance of adenoflems, in turn, threatens serious complications, including sepsis.

In the chronic flow of the disease, lymph nodes are increased, but painless. There are their limited mobility and increased density, general state The child is satisfactory, the process of suppuration occurs in rare cases. If there is a focus of a chronic infection that supports sluggish lymphadenitis, the shell and lymph node tissues are gradually replaced by granulate, and their destruction occurs.

Specific lymphadenitis of tuberculosis origin is characterized by a long flow, a group of cervical lymph nodes is collected into a dense and wide ring resembling collar. May give complications in the form of fistulas, color and scars of the surrounding tissues.

Diagnostics

Increased lymph nodes on the neck of the child can easily be detected independently. Depending on the stage of inflammation, they can be of different sizes - from a very small, slightly more centimeter in diameter, to sufficiently large. The diagnosis of the disease is carried out by a pediatrician, but may require an examination by other specialists - a otolaryngologist, a phthisiator, infectiousness, surgeon and hematologist.

The doctor conducts a thorough physical inspection, assesses clinical picture And reveal primary cause The appearance of lymphadenitis. Blood test is assigned. If necessary, specific differential methods are used - ultrasound and x-ray of lymph nodes, puncture with bakpospose, biopsy, followed by histological or cytological examination, tuberculin test.

Treatment

The main treatment is aimed at eliminating the primary disease. To remove swelling, the doctor may appoint Deltason or prednisone. It is important to remember that it is strictly forbidden to use warming compresses and ointments during lymphadenitis. High temperature contributes to the spread of infection and inflammation on the surrounding tissues, including a brain.

With acute forms of non-specific lymphadenitis, conservative methods are used:

• reception of antibiotics - cephalosparins, penicillins, macrolides;
• antihistamines;
• local treatment with dry heat, the use of compresses with the ointment of Vishnevsky, UHF;
• loculants, vitamins - calcium gluconate, ascorutin, immunomodulators.

If the effect of treating unsatisfactory or lymphadenitis has moved to the purulent stage, hospitalization is required. In the hospital, the abscess is carried out with the subsequent drainage and rehabilitation of the purulent focus. In case of necrotic lymphadenitis, a thorough scraping of the cavity of the affected node is performed, and in some cases it full removal. After the operation, a complex rehabilitation is carried out, comprising anti-inflammatory and anti-pharmaceutical therapy. Treatment of tuberculosis lymphadenitis is the prerogative of specialized agencies.

To establish the cause in which the infection is not amenable to standard treatment, a thin needle lymph nice is aspiration. Content is investigated on acid-resistant, aerobic and anaerobic bacteria and myoses.

With chronic form of lymphadenitis, assigned:

• test manta;
• serological tests for toxoplasmosis, Bartartellez;
• analyzes for immunodeficiency virus, Einstein-Barra, cytomegalovirus;
• chest x-ray.

If the exact diagnosis fails after all tests, it is not possible to establish a biopsy of the node with sending material taken to histological examination. The presence of casiosic granuloma may indicate that there is a disease of cat scratches. This is especially true in case of contact of the sick child with a cat.

Among the possible causes of chronic lymphadenitis, it is the disease of cat scratches in the first place. The scientific name of this disease is Felinosis.

In case of unsuccessful contact with a kitten or a cat that scratched or bit the child, cervical and migratic lymph nodes. It does not matter which part of the body suffered from feline claws. Despite enough painful, enlarged and blushing swelling, treatment is not required, and everything goes by itself.

The use of antibacterial drugs on the course of the disease does not affect. It should be noted that complete recovery may not come soon, sometimes the disease is drawn up to 10-12 months. In some cases, when the lymphatic node delivers strong discomfort and strives for a breakthrough, maybe a small surgical intervention In the form of a puncture.

Malignant cervical lymphadenitis

Among the total number of oncological diseases in children and adolescents, malignant forms of lymphadenitis occupy the third place. What causes this pathology is still unexplained, however, there is an assumption about the negative impact of Einstein-Barra virus. Cancer cells appearing in lymphoid tissue are applied to neighboring lymph nodes that are inflicted, increase and blushed.

The so-called Hodgkin lymphoma is most common, which can flow in different ways, but in most cases it is successfully treated.

Symptoms of the disease:

• the lymph nodes on the neck are dense and painless, can increase to quite large sizes, mobility in the early stages is not violated;
• the liver and spleen are enlarged;
• increased sweating, especially at night;
• weight loss without visible reasons;
• fever (chills or heat);
• frequent colds and infections.

Hodgkin's lymphoma may have a complicated course in which patients experience gravity in the chest, difficulty breathing and impaired kidney function.

The treatment of Hodgkin lymphoma depends on the stage, which is determined by the number of affected lymph nodes and their location near the diaphragm. Some symptoms appear at a certain stage, and this is also taken into account. For example, general signs - Increased body temperature, sweating and weight loss - are not found in the early stages.

Therapeutic measures include ray and chemotherapy courses. In each case, the scheme is selected individually. At the occurrence of relapse, more powerful preparations and stem cells are used. The percentage of recovery after one course of chemotherapy is 60% of the total number of ill children.

Another variety of lymphoma is non-Khodgkinskaya, which is divided into several types. Children are most often found of Berkitt lymphoma, lymphoblastic and large cell. In the lymphoma of Berkitta, the reaction mainly on the side of the intestine - constipation, diarrhea, abdominal pain, bloating, obstruction and bleeding from the rectum.

The following signs are characteristic of lymphoblastic lymphoma:

• shortness of breath and chest pain;
• difficulties in swallowing;
• increased lymph nodes on the neck and armpits;
• defeat of the head and spinal cord.

Large-cell lymphoma combines all signs of Berkitt lymphoma and lymphoblastic, excluding the head and spinal cords that remain unchanged.

The diagnosis of lymphoma is carried out using a puncture biopsy from punctures of affected lymph nodes and tumors. To determine the stage of the disease, X-ray, MRI, and bone marrow puncture are prescribed.

The main method of treatment is chemotherapy. Even in the case of one hearth, it is necessarily carried out before the operation. In the later stages of chemotherapeutic courses, there may be several, they are carried out in stages. Since interruptions are made between sessions, the duration of treatment can be about two years.

The cause of lymphadenopathy can be almost any tumor, since malignant formations have a property spread through the lymphatic system. That is why enlarged knots on the neck in a child for a long time require mandatory consultation from a doctor and surveys.

Cervical lymphadenitis as a symptom of autoimmune states

Increased lymph nodes are the main symptom of systemic red lupus, other signs of which are the following:

• general weakness and fever;
• pain in the chest and joints;
• krasnut on his face resembling a butterfly;
• impairment of kidney function;
• pale skin cover;
• tendency to bleeding and infections;
• cramps, pressure drops.

The danger of red lupus in her unpredictable current, she can sneak, then sharpen again. The recurrence period may be too sharp and cause irreversible consequences, Up to death.

Treatment of conservative, corticosteroid drugs, in severe cases - cytostatics. The forecast depends on the immune status of the patient and its individual characteristics.

Kawasaki's disease amazes mostly children under 5 years old, adolescents and adults - almost never. The reason for this ailment remains unclear, but the defining role is played by infection. Mostly vessels and artery are affected, the beginning of the disease is sharp - the temperature rises to 40 degrees and above. Fever continues for a long time, sometimes weeks, while the temperature cannot be knocked down, including antibiotics.

The lymph nodes on the neck of the child are increasing and become more than 1.5 cm in diameter, hands and legs swell, rash appears on the body. Musionous eyes and mouth become red, dry skin. The danger of Cavasaki's disease in its complications - at the end of the acute stage, arthritis, otitis, hepatitis and meningitis can develop, due to the defects of vessels, infarction and thrombosis are possible.

Autoimmune diseases to which relate rheumatoid arthritis, sclerodermia and others can also cause chronic lymph nodes and cause chronic lymphadenitis.

Thus, lymphadenitis can be a symptom of many diseases - from light inflammation due to cat scratches to serious cancer processes. Timely appeal to the doctor will help not only cure, but also to prevent the development of the disease, eliminating the source of the infection.

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The World Health Organization in 2007 implemented 10 review of the classification of diseases to subjugate their international encoding of diagnoses, and in the end it turned out 22 subsections. According to the generally accepted standard on the ICD 10 of the LimphaDenit Code L04, with the exception of some diseases that we consider below.

What is lymphhadenitis

Lymphadenitite calls the disease of the lymph nodes associated with their inflammation, reaching an infectious-purulent form. Pathology is unpleasant not only with painful sensations, discomfort, as well as what affects appearance. Most often you can meet inflammatory processes in the neck, jaw, axillary depression.

A starting signal serves in the lymph node infection or a glotting microorganism. They enter the system of blood or lymphatic fluid. The first symptoms most often become painfulnessaccompanied by weakness, malaise, elevated temperature, headache, increasing lymph nodes in size.

Views

Several classifications of this disease can be distinguished, which are also reflected in the ICD 10. Depending on the course of the flow, there is an acute and chronic form. Depending on the location of the location, distinguishes:

• submandibular lymphadenitis;
• pathology in the field of neck;
• inflammation of axillary deposits;
• packing lymphadenitis.

Patients with similar diagnoses are subject to hospitalization. The doctor appoints medicia treatment, physiotherapeutic procedures, peace.

By nature, infection can be distinguished by a purulent stage, accompanied by a constant, pulsating pain, sealing, redness. skin Pokrov in the field of inflammation. This species can lead to serious complications, sepsis, as it quickly applies to adjacent lymph nodes, penetrates nearby tissues and cells. Purulent pathology requires compulsory operational intervention, drainage. In the absence of pus, the disease passes significantly easier, does not require surgical intervention, does not change the skin condition.

Classification according to μb10

Lymphadenitis in the ICD 10 can be found in three sections:

• The diseases of the circulatory system include in its composition a chronic type of disease under the number I1, non-specific mesenter in acute or chronic form - I88.0, nonspecific unspecified - I88.9, as well as other forms of non-specific pathology - I88.8.
• Skin diseases and subcutaneous fiber L04 include an acute form of pathology, numbered in accordance with the location of localization: 0 - the area of \u200b\u200bthe face, head and neck, 1 - torso, 2 - upper limbs (including armpits, shoulder), 3 - lower limbs, pelvis area, 8 - other localization, 9 - unspecified.
• The increase in lymph nodes can be attributed rather to symptoms than to the diagnosis, however, it also has a separate classification: R59.0 - clearly pronounced localization, R59.1 is a generalized increase, Lymphadenopathy BDU (except HIV, which is included in B23.1), R59.9 - Uncomfortable form.

Based on the above classification, one can clearly determine where one or another diagnosis belongs. For example, cervical lymphadenitis in the ICD 10 refers to L04.0. This approach allows standardizing medical documents around the world.

Inflammation of lymph nodes is characteristic of many diseases, among which submandibular lymphadenitis. Causes of its occurrence, symptoms of appearance, methods of treatment and measures of prevention.

In the body of a person there are several main liquids that are constantly circulating according to vessels and non-mixing among themselves: blood, lymph, liquor (spinal fluid).

Causes of submandibular lymphadenitis

Let's start with what it is? The submandibular lymphadenit is inflammation of lymph nodes located under the lower jaw, but why does it occur? NEUCH does not occur by itself, this is one of the symptoms of any disease. IN human organism There are several groups of lymph nodes responsible for certain parts of the body.

Submandibular lymph nodes (sometimes they are called cervical) responsible for the treatment of lymph heads and directly oral cavity. For the processing of lymph, washing the head, respond: Included, occipital, front-ear.

If the cervical lymph node inflamed, then, most likely, the reason is the oral cavity or nearly arranged respiratory organs. The main causes of the disease:

1. Acute respiratory infection Bacterial or viral etiology (ORZ, ORVI).
2. Unbearable caries.
3. Complications of caries: ,.
4. Periodontitis or.
5. Acute otitis.
6. Acute or chronic inflammation of the sinuses of the nose: front, sinusitis, sinusitis.
7. Chronic or acute inflammation of the pharynx organs: tonsillitis, pharyngitis, adenoitis.
8. Injury or other mechanical damage.
9. Syphilis, tuberculosis, HIV, rheumatoid arthritis

With a reduced immunity, lymph nodes may increase, but soreness and seals do not occur. Most often, if the increase is small and not very worried about man, for medical help Do not turn. But a slight increase in lymph nodes can talk about developing oncological disease, Therefore, when even a minor seal appears to a doctor.

Symptoms

As a rule, an increase submandibular lymph nodes It occurs on the background of ARZ or ORVI, so it is difficult to highlight the symptoms, but you can define characteristic features:

• an increase sometimes up to 5-7 cm in diameter, which greatly complicates swallowing;
• palpation hurts (lung pressure);
• the presence of a small redness, which is localized on the "top" of the inflamed lymph node.

With the progression of the underlying disease, lymph nodes are becoming increasingly painful even at rest, compacted and make it difficult to swallowing. Other symptoms, such as high temperature, bad appetite, overall malaise, most likely refer to the primary disease. The cervical lymph node may not be much increased in size, do not react to palpation and do not disturb the patient in any way. In this case, it is necessary to consult with an otorinolaryngologist and a dentist.

The cervical lymph nodes can be inflamed with strong mechanical effects. This happens with a sharp strong squeezing of the neck. In this case, the main symptoms appear the characteristic formation of hematoma at the squeezing point.

In chronic infectious processes, the lymph nodes are not much increased, not compacted, as a rule, painless during palpation. In periods of exacerbation, inflammation becomes more pronounced. IN general Analysis blood is observed leukocytosis and accelerated sedimentation of erythrocytes (elevated EE).

Submandibular lymphadenitis and its treatment

Adults and children with the same periodicity of ORZ and ORVI are sick, therefore the submandibular lymphadenitis occurs equally often at any age. Ignoring symptoms is fraught with complications. The suppuration of the inflamed lymph node can develop, which will lead to an abscess and evacuate purulent content.

An opening of an abscess, surgical cavity cleaning or full removal it is performed. If the affectionant is extensive, the drainage is superimposed through which the contents gradually leaves. Next is appointed antibacterial therapyprevention postoperative complications. UHF therapy can be assigned, treatment with dry heat or the imposition of a warming compression. It is important to spend heat treatment Only after the openness of the gland, in order to accelerate healing.

Lymphadenitis can flow in two forms: acute (odontogenic) and chronic (uncommon). Odontogenic submandibular lymphadenitis is treated with the removal of the infection spotlight:

• treatment of caries, pulpitis and periodontitis or removal of the patient's tooth;
• treatment of periodontitis, gingivitis, periodontalis;
• treatment acute disease (ORZ, ORVI).

It is important to carry out complete diagnostics, because in some cases the diagnosis can be installed incorrectly. For example, inflammation of the salivary glands - SalyaDenit. Symptoms are similar to submandibular lymphadenitis, but in addition it is characterized by characteristic dryness in the mouth and the presence of an unpleasant taste.

What to do if the cause of inflammation of lymph nodes cannot be established? Need to carry out a thoromal differentiated diagnostics, excluding serious diseases (tuberculosis, syphilis, red lupus). Increased lymph node always talks about the inflammatory process and cannot act as an independent disease, which means that aimed at treatment cannot be. It is simply not possible to remove inflammation from the lymph node, without removing the reason that caused it.

Antibiotics

Antibiotics with submandibular lymphadenite can be assigned only by the attending physician. It is very important to get qualified help with full differentiated diagnostics to cure high quality. primary disease. Antibiotics are often prescribed wide spectrum actions:

1. Ceftriaxone.
2. Zefisim.
3. Cefalexin.
4. Amoxiclav.
5. Amoxicillin.

In the case of tuberculosis or syphilis, anti-acidic and antituberculosis drugs are used. The use of antibiotics is justified only in the case of bacterial origin of the disease. If the causative agent has become a virus, the use of antibiotics will not give the proper effect. It is necessary to take antiviral and stimulating immunity drugs.

The patient must comply with bed regime. It is shown abundant drinking and taking a fascinating means. Assign polyvitamin complexes. Any warming of lymph nodes is excluded - this contributes to the spread of infection, the generalization of the process and can lead to a general blood infection.

Folk remedies

With the help of traditional medicine, it is also impossible to cure submandibular lymphadenitis. It is possible to facilitate the state of the patient with non-drug methods, but it cannot provide proper treatment.

• ginger tea - you need to graze the root of ginger, pour it with hot water and let it stand in a few hours. You can add lemon and honey;
• infusion on Echinacea helps to relieve inflammation. It can be taken inside 50 drops on a glass of water (200 ml). You can apply compress to the place of inflammation of the lymph node. Proportions - 1: 2 Echinacea tinctures to water;
• beetal juice has the effect of cleansing lymph and blood. You can take it in a pure form or in a mixture with celery, carrots, cabbage and basil juices;
• rosehip helps remove the main symptoms of intoxication when infectious disease. In 100 g of dry berries of the rosehip contains over 2000 mg of vitamin C. This is the most powerful antioxidant that helps improve the work of all organism systems.

Rosehip and ginger tea - very useful funds in the treatment of any cold illness. It is very important to brew dried berries and grated ginger root. The water temperature should not exceed 98 ° C.

For the treatment of gingivitis, it is necessary to regularly rinse the oral cavity. Well removes the inflammation of the saline solution at a concentration of 1 tablespoon of salt, better than iodined, on 250 ml of warm water. Instead of ordinary water, you can use champs calendulas, chamomiles, sage.

Video: submandibular lymphadenitis - what to do?

Prevention

No specific prophylaxis of submandibular lymphadenitis. Preventive measures They are to prevent the development of the causes that cause inflammation of lymph nodes.

If we consider autoimmune diseasescontributing to the development of submandibular lymphadenitis, the prevention does not exist.

Additional questions

What code on the ICD-10?

Most likely submandibular lymphadenitis will be indicated as L-04.0 on the ICD 10 revision. Literally this means "acute lymphadenitis of the face, head and neck." An ordinary increase in lymph nodes is quoted as R-59, which eliminates acute and chronic lymphadenitis. R-59.9 is an increase in the lymph nodes of unspecified etiology.

What doctor treats submandibular lymphadenitis?

Most often, therapists are involved in the treatment, because with the main symptoms come precisely to it. If the therapist doubts the diagnosis, it sends to a consultation to the otorinolaryngologist and the dentist.

What is dangerous?

With the normal course of the main disease, lymphadenitis is not dangerous. The increase goes by itself as the patient recovers. If the lymph nodes are enlarged on the neck, but painless during palpation, the condition does not pass over six months, that is, the concerns of the development of tumor education or oncology. The biopsy and research is shown using oncomarcres.

The submandibular lymphadenitis is one of the varieties of inflammation of lymph nodes. This disease may arise both in adults and in children. Experts note that submandibular lymphadenitis rarely happens primary ailment. In most cases, the inflammatory process appears first in some other organ, after which it turns into lymphatic nodes over time.

If the first symptoms appear this disease, you must consult a doctor. Otherwise, the consequences can be very serious. Acute form This disease (code on the ICD 10 - L04.0) is accompanied by a strong painful syndrome, so it is not necessary to slow down with treatment.

As mentioned above, the submandibular lymphadenitis is often a secondary ailment. However, there are cases when the disease develops separately. In such a situation, doctors diagnose the injury of the node itself with further pathogenic microflora in it. Most often, the cause of the development of the primary forms of this disease is to penetrate staphylococci and streptococcal in the lymph nodes. With direct injury of the node, these microorganisms fall into the node directly through damaged skin fabrics.

Call the secondary submandibular lymphadenitis can all the same streptococci and staphylococci. In this case, the inflammatory process can begin on the gums and teeth. Bacteria fall into the node through lymph. Such agens like gingivitis (Code of ICD 10 - K05.1), caries and periodontitis can cause the development of the disease described above. That is why it is important to constantly follow the purity of the oral cavity.

The reason for the occurrence of submandibular lymphadenitis can be concluded in the presence of chronic diseases of the almonds and nasopharynx. Doctors are often diagnosed with chronic tonsillitis (code according to ICD10 - J35.0), which subsequently causes the above disease. Doctors warn that the cause of the occurrence in the field of lymph nodes can be at chronic hymorite (Code of ICD10- J32.1).

As already mentioned, most often the submandibular lymphadenitis develops after entering the staphylococci and streptococcal nodes. But it is necessary to understand that this ailment can be caused by other pathogens. For example, sometimes the cause of the disease is to get into the body of the tuberculous koche or bacteria causing syphilis.

Consider submandibular lymphadenitis can be drugized means and by surgical intervention. Most often doctors are surgical interference with parallel reception of medicines.

Antibiotics are used to eliminate unpleasant symptoms. If staphylococci or streptococci has become the cause of the development of the illness, the antibiotics of the penicillin row are discharged by doctors. Most often, these drugs are injected into the body through injections. Taking antibiotics follows at least 7 days in a row. This time is usually enough to destroy the infection.

If a pus appeared in one of the lymph nodes, the specialist makes a small incision on the skin on the skin (the capsule of the node itself is caught), inserts a drainage catheter into it and conducts purification from the govetum mass. So you can be sure that the node spontaneously does not break through and will not be infected with other tissues. After such a procedure, the treatment of submandibular lymphadenitis is much faster.

However, in most cases, the infection affects not one node, but at once several. In this case, more complex operational intervention is carried out. The doctor makes a cut in the submandibular area. It introduces into the open cavity tube for drainage. After that, the wounds are closed with special clamps. Such treatment is necessarily accompanied by taking antibiotics.

If the secondary form of the disease was diagnosed with doctors, then first of all it is necessary to send the strength to eliminate the primary focus of infection. If pathogenic microorganisms have fallen into nodes from the oral cavity, the treatment implies its rejection. In most cases, experts are prescribed to the patient rinse the mouth with a liquid of drow. It has an anti-inflammatory, binding and antiseptic effect. The same solution can be used to impose compresses to the affected area. Alternatively, a throksevazine, heparin ointment and boric vaseline can be used.

Treatment with folk remedies

From the unpleasant symptoms of the above-described disease, you can try to get rid of folk recipes. Folk Medicine has long established itself as an excellent remedy for many serious ailments.

The treatment of submandibular lymph nodes is carried out by tincture of Echinacea, which can be purchased in any pharmacy. 30 drops of tincture must be dissolved in half a glass of water and drink three times a day.

It is possible to treat the above-described ailment with a blueberry drink. For its preparation, half a glass of blueberries need to be pulled and pour 1 cup of water. The resulting cleaner must be postponed for 1 hour. After that, everything should be stirred and drinking before each meal.

Dandelion Powder: 100 g of dried dandelion roots need to be crushed and eat 1 small spoon before meals. To treat submandibular lymphadenitis such a folk medicine is needed before the appearance of positive results.

Doctors warn that it is necessary to treat the above-described disease with folk remedies with extreme caution. The thing is that home recipes often become the cause of a fairly serious allergic reaction.

If the groove lymphadenitis is increasing in a purulent form, then it can cause necrosis of surrounding tissues. In this case, the treatment of inguinal lymphadenitis is only surgical. The surgeon carries out the incision of the inflamed lymph node, removes the pus from there and removes the nearby dead tissues. With the help of antimicrobial and antiseptic drugs, the doctor drains the opened cavity.

For the treatment of chronic form of inguinal lymphadenitis, first of all it is necessary to determine the cause of the disease. If a matter is any venereal disease, then the main treatment should be directed to its elimination. As a rule, after eliminating the cause, the inflammation of lymph nodes passes on its own. If the inflammation does not disappear, the doctor prescribes additional x-ray examination and prescribes treatment aimed at strengthening the patient's immunity.

Today, doctors try to resort to surgical interference only in extreme cases, since it has been proven that it can lead to an irregular outflow of lymph, which, in turn, leads to or elefantiaz.

Lymphadenitis - inflammation of lymph nodes, often accompanied by a purulent process. The most common cause of lymphadenitis are streptococci and staphylococci, which fall into lymph nodes during lymphangitis. For the most part Lymphadenitis is localized in the armpit and in the groin. More often you can meet lymphadenitis in children.

Causes of lymphadenita

The causative agent of the disease are globular microorganisms, which are from foci of purulent inflammation (Panaria, phlegmon, etc.) penetrate the lymph nodes. This happens by direct contact with microorganisms, as well as through blood or lymph.

Lymphadenitis can be purulent or non-negative, and the duration of the flow distinguishes the lymphadenitis sharp or chronic. The purulent-inflammatory process can spread on one lymph node, or affect nearby. With purulent lymphadenitis, the formation of an extensive focus of suppuration in soft tissues is adenoflemmon.

Symptoms of lymphadenitis

A characteristic feature of lymphadenitis in children and adults is a strong pain that forces the patient to keep the limb in a certain position. The patient increases the body temperature and edema occurs. In the late stage of lymphadenitis, fluctuation and leukocytosis can develop.

Types of lymphadenita

Lymphadenitis is acute, chronic, specific and nonspecific.

The main cause of non-specific lymphadenitis are staphylococci, streptococci, less often other global microbes and tissue decay products from primary foci of infection. The primary foci are purulent wounds, furunculae, corrosive inflammation, thrombophlebitis, trophic ulcers, and other microbes and toxins enter the lymph nodes with contact, hematogenic and lymphogenic paths. Also, the microbes can penetrate directly into the lymphatic node when injected. In this case, lymphadenitis is a primary disease.

Microbes entering the lymph nodes provokes an inflammatory process, as a result of which hemorrhagic, serous, fibrinous purulent lymphadenitis may occur. If you do not carry out the treatment of lymphadenitis, the disease can lead to irreversible processes - necrosis, abscess, the frozen decay of lymph nodes. At the initial stage of the disease, there is a lunch of endothelium, the expansion of siquors and congestive hyperemia occurs.

With simple lymphadenitis, inflammation, as a rule, does not go beyond the limits of the lymphatic capsule. If the disease has destructive shapeThe inflammatory process can spread to the surrounding fabrics.

Non-specific lymphadenitis can be sharp or chronic.

Acute nonspecific lymphadenitis begins with headaches, an increase in lymph nodes, their pain. Also, symptoms of lymphadenitis include an increase in body temperature and general ailment. If the inflammatory process is not a pronounced character, then the overall condition of patients suffers little. There is a soreness of lymph nodes, an increase in them in size, sealing. When progressing the disease and the transition of the inflammatory process in destructive shape, all symptoms of lymphadenitis are amplified. Pains become sharp, and leather over lymph nodes hyperemic.

With the development of adenoflems, the general condition of patients deteriorates sharply. The body temperature is strongly rising, sometimes to critical marks, tachycardia arises, chills, strong weakness, headaches.

Non-specific acute lymphadenitis is fraught with the development of such complications as thrombophlebitis, the spread of the purulent process into the cellular spaces and metastatic foci of infection (lymphatic fistula, septicopemia).

Chronic nonspecific lymphadenitis in children and adults can occur from acute lymphadenitis or be a consequence of recurrent inflammatory diseases, such as chronic, microtraums, inflammatory processes in teeth, etc. As a rule, chronic lymphadenitis extremely rarely passes into a purulent form.

The symptoms of lymphadenitis of chronic nonspecific include: an increase and sealing of lymph nodes, which long time remain enlarged and low-skinned. Sometimes there are complications such as swelling, elephantism, disorder of lymph circulation.

The causes of lymphadenitis specific are predominantly, and other diseases. For example, you can most often meet tuberculous lymphadenitis in children during the primary tuberculosis.

At acute stages of specific lymphadenitis, a strong increase in body temperature, an increase in lymph nodes, symptoms of body intoxication, inflammatory necrotic processes in lymph nodes are noted.

Diagnosis of lymphadenitis

To diagnose the disease, the doctor looks at the general clinical symptoms of the patient and anamnestic information.

To clarify the diagnosis, the patient shows the puncture biopsy of the lymphatic node. In particularly severe cases, the removal of lymph node is possible for the purpose of histological research.

Treatment of lymphadenitis

The method of treatment of lymphadenitis of acute nonspecific depends on the severity of the process. In the initial stages, predominantly conservative treatment is used. For the affected organ, the complete peace is shown, UHF treatment and adequate treatment of the infections (drainage of the affectionant, the timely opening of the abscesses and phlegmon, the opening of the purulent sufferings). The patient is prescribed antibiotics treatment. Purulent lymphhadenites are mainly treated surgically: reveal adenoflems, abscesses, pus are removed, and the wounds drain.

Treatment of lymphadenitis of chronic nonspecific is aimed at eliminating the underlying disease, which provoked lymphadenitis.

Specific lymphhadenitis is treated depending on the nature of the lesion of lymph nodes and the severity of tuberculosis changes in the organs. If the process is active, the patient prescribe the preparations of the first row: streptomycin, tubazide in combination with ethionamide, PASK, Pyrazinomide, opposimide, etcutol. Specific long lymphadenitis treatment (up to one and a half years old). With a pronounced purulent process, the patient is prescribed antibiotic therapy.

Prevention of lymphadenitis

First of all, for the prevention of lymphadenitis, it is necessary to try to avoid injuries, effectively fighting wound infections and rationally and in time to treat purulent-inflammatory diseases.

Lymphadenitis is an inflammatory process in lymph nodes, in most cases of purulent. The disease is often found in both children and adults. As a rule, foci of inflammation are located in the neck area, as well as in the submandibular, axillary and inguinal zones.

Several types of lymphadenitis are isolated depending on the severity of the course of the disease:

• unmargin and purulent;
• chronic and acute;
• with single or multiple foci of lesion of lymph nodes;
• nonspecific and specific.

Lymphadenitis: Code of ICD-10

International Classifier Diseases of the tenth revision (ICD 10).

Acute lymphadenitis (MKD-10 code) is assigned to the XII class of "infections of the skin and subcutaneous tissue" and corresponds to the encoding L04. If there is a need to specify the causative agent of the disease, then apply additional identification that has B95-B97 codes.

Acute lymphadenitis in the ICD-10 is divided depending on the location of the lesions of the lesion:

• L04.0 - in the neck, face, on the head;
• L04.1 - in lymph nodes of the body;
• L04.2 - in the axillary depressions, on the shoulders;
• L04.3 - the lymph nodes in the pelvis area are affected;
• L04.4 - Foci are localized in other areas;
• L04.5 - Uncomfortable lymphadenitis.

The nonspecific form of lymphadenitis is included in the IX class "vests of veins, lymphatic vessels and nodes".

Lymphadenitis (ICD): Causes

As an independent primary disease, lymphadenitis develops in isolated cases. The disease is a consequence of infection of lymph nodes by pathogenic microorganisms. The bacteria provoking the disease includes:

• staphylococcus;
• streptococcus;
• pneumococcus;
• intestinal wand;
• sinnaya wand.

In many cases, the causes of lymphadenitis serve as internal organs. For example, pathogenic bacteria are able to spread through the body with a blood flow, settle in the lymphatic system and cause inflammation of lymph nodes in cases of infection in the ovaries, inflammatory processes in the intestine, liver diseases.

The rare method of damage is the contact - when bacteria directly fall into lymphatic nodes in the violation of their integrity (in case of injuries).

The most common causes of sealing, growth and inflammatory process from the lymphatic node are non-specific infection. Lymphadenitis, provoked by conventionally pathogenic microorganisms, is characteristic of the femoral, poning, groove, axillary, elbow, cervical and submandibular zones. In this case, the risk of reproduction of microorganisms are: supercooling, stress, lymph node injury, etc.

Lymph nodes are a kind of filters that prevent the penetration of pathogenic bacteria into the human body. When the number of infectious particles is too big, then lymphatic system It may not cope, and the development of inflammatory processes is observed. Lymphadenitis indicates the weakening of immunity caused by a number of factors.

Types of lymphadenita

Depending on which the inflammatory process appeared in which lymph nodes, lymphadenitis is isolated:

• submandibular;
• cervical;
• inguinal;
• axillary

The submandibular lymphadenitis (ICD) is the most common type of disease. It develops in case of running caries, inflammation of gums or chronic tonsillitis. For pathology, the gradual increase in symptoms is characterized.

The cervical lymphadenitis on the MBC is characterized by inflammatory processes in the cervical lymph nodes. The reason for the development of the disease is infectious inflammatory processes in the upper respiratory tract. As a rule, such a type of lymphadenitis in children is found, as a result of pneumonia, influenza or ORVI. In adults may indicate tuberculosis or syphilis.

The groin lymphadenitis in the IBC is a secondary inflammatory process when pathogenic microorganisms fall into inguinal lymph nodes with a lemph or blood current.

What is the danger of lymphadenitis

The development of the focus of inflammation in lymph nodes entails purulent serous, hemorrhagic and fibrous changes.

Lymphadenitis at the launched stage can lead to necrosis of tissues, sepsis, frozen violation of lymph nodes and abscess.

The nonspecific form of lymphadenitis can be crushed into thrombophlebitis to form metastatic infectious foci.

Complications of chronic nonspecific lymphadenitis include: lymphostasis, elephant, swelling, lymph dispersion.

Women's lymphadenitis is often diagnosed during pregnancy, which is associated with a natural decrease in protective forces. The body spends a lot of energy, the immune system is depressing, and chronic diseases are exacerbated. This leads to the fact that sluggish diseases begin to progress, all conditions are being created for the accession of new pathologies, which can cause lumfayenitis in women.

Lymphadenitis (Lymphadenitis) is inflammation of lymph nodes (Code of MKB-10 - L04 / I188).

The infection can penetrate the lymph nodes primary, through the wound on the skin, or to be transferred with blood and lymph with the already existing infection hearth in the body. So the development of lymphadenitis in women occurs.

Causes and risk factors

The inflammation of the lymph nodes in women, including during pregnancy, occurs because of the infection in lymph nodes or against the background of the exacerbation of chronic systemic diseases. Autoimmune processes, allergies, purulent foci and oncology can provoke pathology.

In most cases, women are diagnosed with nonspecific lymphadenitis, which flows without pronounced symptoms and is well amenable to conservative treatment. But during pregnancy, when immunity is weakened, there is a risk of developing specific lymphadenitis. This is especially dangerous in the first and second trimester when there are contraindications to many drugs.

Women who have passed hormone therapy, having infections of the urogenital system, fall into the risk group. The disease develops at any age.

Risk factor is swimming in polluted water bodies, work in extreme conditions and animals. There is a high probability of disease in women who in childhood suffered a lot of infections.

Lymphadenitis is not infected, it is a secondary disease, complicating another infection, which can already be transmitted from a sick person.

The treatment of lymphadenitis in women is engaged in an infectious player and surgeon, during pregnancy, a gynecologist is additionally observed for the state.

Stages of lymphadenitis

Lymphadenitis proceeds sharply and chronically. Acute inflammation has 3 stages with characteristic symptoms and a special approach in treatment.

Stages of inflammation of lymphatic nodes:

1. Catarial. There are minor external changes in the field of patient lymph node, it is increased, with a painful patpitation. The surrounding fabrics are unchanged, the body temperature within the normal range rarely rises to 37.5 degrees. Complete recovery occurs after eliminating the main disease without additional events.
2. Hemorrhagic. The damaged lymphatic assembly is filled with bleeding content, which looks like a hematoma. The remaining manifestations are similar to the catarrhal stage.
3. Purulent. The launched degree of inflammation of the lymph node, it is painful, enlarged, span with surrounding tissues. There is a pronounced intoxication of the body, the body temperature rises to 38 degrees and above. Immediate surgical treatment is required.

Acute lymphadenitis goes into a chronic course when there is no treatment. Symptomatics subsides, but the disease only progresses, leading to intoxication and attaching other diseases.

Views and symptoms

The disease is classified depending on the location location. In women, inflammation in the area of \u200b\u200bthe groin and under the jaw (groin and submandibular) is more often diagnosed. Also distinguish between awesome and armpit lymphadenitis.

Each form has some common clinical signs:

• sealing and increasing lymph nodes;
• small rash on the skin;
• soreness in the affected area;
• local temperature increase in touch to lymph nodes;
• general weakness and signs of intoxication.

Packing lymphadenitis in women is a complication of infection in the field of small pelvis organs and lower extremities. Manifested by soreness while walking, edema and redness of the skin. During pregnancy, such localization is often associated with inflammation of appendages or chronic colitis.

Inflammation inguinal lymph nodes Women can become the consequence of ovarian cysts. In addition, lymphadenitis develops with a hidden course of certain sexually transmitted infections, including syphilis. Packing lymphadenitis more often applies to the close lymph nodes, which can cause generalized inflammation.

The axillary shape of inflammation has the most vivid external manifestations. There is strong inflammation and irritation of the skin in the armpit area. Provice inflammation can mastopathy and mastitis, infection is possible from cat scratches. In connection with these pregnant women it is recommended to show special caution During pets with pets.

The submandibular lymphadenitis develops due to chronic inflammation, infection or purulent process in the oral cavity. The disease can provoke non-treated caries, periodontitis, purulent angina.

Localization of inflammation behind the ear is more common in young children, and during pregnancy, worm lymphadenitis can provoke exacerbation of sinusitis or tonsillitis.

Diagnostics

When examining a woman, a doctor sees enlarged, inflamed lymph nodes, with palpation they are painful and dense. After inspection, instrumental and laboratory diagnostics are assigned.

On the initial stage It is necessary to pass the blood test to determine the inflammatory process and on the basis of the anamnesis to find out the cause of the disease. With severe lymphadenitis you need comprehensive examination To determine all associated violations.

Additional diagnostic methods for lymphadenitis:

• Ultrasound of lymphatic nodes to determine density;
• tissue biopsy in suspected oncology;
• bacteriological sowing to identify the causative agent of infection;
• MRI or CT lungs and bronchi with suspicion of tuberculosis.

During pregnancy, it is permissible to carry out all listed diagnostic methods, except for computed tomography (according to indications).

Differential diagnosis is carried out with a reactive hyperplasia, a lymphatic tumor, tuberculosis.

Treatment

The treatment of acute nonspecific lymphadenitis includes directional therapy of the underlying disease. Antibacterial drugs are prescribed, taking into account the sensitivity of the pathogen. In the purulent stage is carried out surgery, autopsy, removal of purulent contents and drainage.

Non-specific lymphadenitis includes the treatment of the main focus, the reception of the wide range of action antibiotics. During pregnancy, there are many limitations. It is forbidden to apply any methods of folk treatment and try to independently open the affectionate. Treatment of pregnant women is carried out surgically using safe painkillers.

Antibacterial therapy is appointed individually, preparations from secure groups are selected. Local treatment is the use of medicinal compresses. Any destination makes an exclusively attending doctor after examination.

Pregnancy of lymphadenitis during pregnancy

Prevention of infection of lymph nodes includes timely and full-fledged treatment of acute inflammatory diseases. When leather injected, it is necessary to immediately carry out antiseptic processing with an alcohol-containing agent. With frequent respiratory diseases against the background of a weakened immune system, you need to reconsider the power, to include more vitamin food.

It is recommended to take a liner and multivitamin funds. During pregnancy, it is necessary to try to avoid the accumulation of people in public transport and immediately contact the doctor if an infection is suspected. It is also important to normalize the psychological state, avoid stress and strong emotional shocks.

Contraindications for lymphadenitis:

• warming compresses, roofing;
• hot baths and local baths;
• baths, saunas, solarium;
• long stay outdoor sun.

Without appropriate treatment, lymphadenitis in women can cause inflammation of brain tissues, skin abscesses, osteomyelitis and blood infection. If the disease is detected at the initial stage, correctly selected treatment allows you to quickly recover without unpleasant consequences.

Ostrodynce of lymphatic nodes - acute Always painfully. Patients usually can accurately indicate the start of change.

The lymph nodes - medium density, leather over them is hyperemic only in severe cases, swelling is strictly localized. Sometimes reddened heavy - lymphanget - leads to a skin wound located on the periphery, indicating the cause of swelling. But without the presence of lymphangoit, with all local swelling of lymph nodes, it is always necessary to look for an entrance gate of infection, which in most cases it is easy to find. There are, however, cases of significant swelling of regional lymph nodes with an already fully escaped inflammatory response at the entrance gate. As experience shows if the doctor does not think about the possible reason for the increase in nodes, there are significant difficulties: so, in the infections of the scalp, the swelling of lymph nodes behind own sink And the occipital nodes are often not recognized correctly as the swelling of regional lymph nodes because the head of the head is not examined carefully.

In these cases is often diagnosed rubella. The swelling of the inguinal lymph nodes in the bed patients is often the first symptom of its fabrication.
It is necessary, therefore, consider serious symptom, if not visible reasons (Balanit), and should never be assumed that we are talking about trifles, even if the peripheral infectious focus as if not. Painful swelling of lymph nodes at an angle lower jaw Indicates the inflammatory process in ZEV (tonsillitis, pharyngitis). Related general symptoms depending on the severity of infection are different. Most cases occur without increasing temperature, in other cases there is a picture of a generalfeit disease with an increase in temperature and leukocytosis. In severe cases, inflamed lymph nodes may be subjected to purulent melting - lymphadenic abscess.

Nonspecific chronic inflammatory the swelling of lymph nodes represent clinical interest, since sometimes they simulate serious diseases and send differential diagnosis on a false path. In most people, inguinal lymph nodes are particularly good, reaching sometimes forest walnuts; They are not painful. They should be considered as nodes subjected to scarsing changes on the soil of frequent "acute inflammation in the field of genital organs (balanitis, vaginitis). Often also occurs to swelling the lymph nodes at the angle of the lower jaw, especially in young people pointing to suffered infections in the field of nasophase space.

Tuberculosis of lymph nodes Can manifest in various forms.
a) just often it is manifested in the form of tuberculosis cervical lymph nodes (cervical lymphoma). At the same time, usually we are talking about an oral primary complex. Therefore, therefore predominantly children and more young people, approximately 25 years old. These lymphoma may also be an expression of organ tuberculosis. At the heart of more than 80%, they are a tuberculous infection of Bovi-Nus type bacillic infection. At the same time, Wiesmann among 50 patients infected with Bovinus type bacillus, 38% found the defeat of the oral cavity, the zea and the neck organs, which indicates the preferred localization of Bovinus type bacillin in this area. Primary focus, if histologically look for it, is very often in almonds, less often in the gums. With tuberculosis of cervical lymph nodes, deep-nesting neck nodes are predominantly affected by the corner of the lower jaw.

The process is often involved and neighboring knots, including permissible. Typically, the process is one-sided. But we recently at the 18-year-old girl, the Kotopoian also had a lot of lymph nodes to the forest walnut, clinically diagnosed with lymphoganulumoatosis, because the rules for one-sidedness of tuberculous cervical lymphoma were too adhered to, meanwhile, as biopsy showed tuberculosis. When localizing the primary focus in gums, lymph nodes are affected not at the angle of the lower jaw, but somewhat more medially.

With tuberculosis of cervical lymph nodes They are originally quite dense to the touch, although usually not to such an extent as with lymphogranulomatosis. But it is often impossible to distinguish them from each other. In most cases, the sensitivity for pressure almost always allows to degrade the inflammatory swelling of the lymph node from the neoplastic one. Pain and pain at pressure are especially expressed in the rapid increase in lymph nodes. This with a great degree of probability indicates the inflammatory nature of the process. The skin over the lymphoma in the early stages can be completely unchanged. When the nodes become larger, that is, they reach approximately the magnitude of the cherry, they are almost always softened. Then the lymphoma appears bluish staining, skin mobility decreases and the impression is obtained that the inflammatory process applies to the surrounding tissues.

In this stage, the diagnosis undoubted. When the node is melted, a cold abscess occurs, which leads to the formation of cropulovers, which breaks through out, leaving behind the fistula. Fistula lymphatic nodes are found, in addition to tuberculosis, actually only with the actinomy of lymphatic nodes. Bacteriological research in the pus quickly leads to a proper diagnosis.

General reactions Very varied. For young people, fever has been rarely observed, children even primary tonsillogenic infection often flows with high temperatures. Roe is slightly accelerated or normal. Manta reaction is almost always positive. However, undoubted cases of tuberculosis of cervical lymph nodes (bacteria found) with a negative reaction of manta (up to 1: 100) (TOBLER).

b) in addition to classical cases tuberculosis of cervical lymph nodes, increasingly observed atypical clinical cases in which the histologically installed diagnosis of tuberculosis is surprising. In contrast to the cervical tuberculosis lymphoma, which, accordingly, the nosological position as the primary complex is striking almost exclusively persons under the age of 25, the second form can develop at any age. The lymph nodes are very dense, with the skin in general, do not dump, the magnitude of the pea to a small forest walnut. In most cases, cervical lymph nodes are also affected. It is probably about hematogenous dissemination. According to my observations, the picture is not the same type. With such data, it is always necessary to look for the main reason.

In the latter cases observed, it was about tuberculous lesion Lymph nodes With tuberculous polyperosite, ovarian cancer, lymphogranulomatosis and tuberculosis of the tips of the lungs.
Tuberculosis of cervical lymph nodes It is necessary to differentiate from the swelling of the cyst of gill canals.