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Infant has enlarged lymph node above collar bone and the back of head post vaccinations. Serious?

Hi, three weeks ago I noticed an enlarged lymph node on the left side above the collarbone & back of head of my 4 months old baby. we did an ultrasound , it showed active lymph nodes all around the neck area too. the one above the collarbone is 1 cm a bit harder than the others, doesn t seem to cause any pain, movable & the ultrasound showed it s not attached. all others are less than 1 cm. it s been two weeks since the ultrasound and nothing has changed. our doctor said to monitor them and come for a follow up in one month. but i m too worried to wait. there are no obvious signs of infection & never had. My baby got those nodes after 5 days of his vaccinations given to him at 4 months old I ve read horrible things on the internet especially about enlarged lymph nodes in the supraclavicular area. I m very concerned & can t sleep. What is the chance my baby has something serious? please help
Asked On : Fri, 7 Dec 2012
Answers:  2 Views:  803
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Pediatrician 's  Response

I can understand your concerns.

Neck lymph nodes are quite common in slightly bigger children. But supra clavicular one is not so common.
Hard consistency is also a matter of concern.

You have not mentioned what vaccine was given for your kid. Yes some vaccinations can produce lymphnode enlargement.
You may try a course of antibiotics for about 2 weeks to treat any occult infections after discussion with your doctor.
You may have a complete blood count, ESR and a peripheral smear till you have a follow up.

If the size remains the same or increases in size, detailed work up will be needed.
Don`t take much worries and hope for good.
Best wishes.

Answered: Tue, 11 Dec 2012
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Pediatrician Dr. E Venkata Ramana's  Response
Feb 2013
In children because of scalp infections and minor infections around the draining areas lymphnode enlargement is seen. If they are increasing in size or any significant alteration in them go for some basic investigations after consulting your doctor, like complete blood picture, ESR, peripheral smear for atypical lymphocytes and abnormal cells,mantoux test and FNAC of lymph node if it is still a concerning problem to rule out any underlying significant problem.
Answered: Tue, 11 Dec 2012
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