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How To Treat With Multiple Bilateral Cervical And Intraparotoid Lymphadenopathy?
Hi I, I am Geetha.. My son is 5 years old. Diagonised (ultrasound)with multiple bilateral cervical & intraparotoid lymphadenopathy(Neck) and largest nodes shows internal vascularity.Largest node on right is 31mm and left side is 28mm. Abdomen- umbilical quadrant shows enlarged mesenteric nodes of 12mm. Blood test shows normal. only LDH-IFCC test is 244. Mantoux test observed 0 mm & negative. immune assay(TB quantiferon), EIA- negative-. Having no fever for last 3 months. Only cold and having adenoid.Chest X-ray shows slightly prominent broncho vascular markings. Doctor has given Claribid for 15 days and given for almost 12 days. Nodes size are decreasing now. Actually what has happened to him? For adenoid Doctor given Metasray and now he is breathing in nose & sleeping well. please help me. I am in Chennai. Geetha
Mon, 13 Apr 2015
Thank you for follwing up.It seems your son has herpes infection. It can be Epshtein-Barr, cytomegalovirus or herpes of 6 type. That's why i suggest you should check blood -IgM,G to this infections and throat culture for flora and sensitivity to antibiotics.
Against virus acyclovir can be given in dose 15 mg/kg/dose 2 times 5 days.
Best regards
Dr.Svetlana Shrivastva
Against virus acyclovir can be given in dose 15 mg/kg/dose 2 times 5 days.
Best regards
Dr.Svetlana Shrivastva
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