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Suppurative Adenopathy
Eunice Y. L. Dai, MBBS, FRCR; Yolanda Y. P. Lee, MBChB, FRCR; Anil T. Ahuja, MD, FRCR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Diagnostic Checklist

            TERMINOLOGY

            • Synonyms

              • Adenitis, acute lymphadenitis, intranodal abscess
            • Definitions

              • Pus formation within nodes from bacterial infection

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • CT Findings

                  • MR Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Białek EJ et al: Mistakes in ultrasound diagnosis of superficial lymph nodes. J Ultrason. 17(68):59-65, 2017
                                          2. Hegde AN et al: Imaging in infections of the head and neck. Neuroimaging Clin N Am. 22(4):727-54, 2012
                                          3. Ludwig BJ et al: Imaging of cervical lymphadenopathy in children and young adults. AJR Am J Roentgenol. 199(5):1105-13, 2012
                                          4. Guss J et al: Antibiotic-resistant Staphylococcus aureus in community-acquired pediatric neck abscesses. Int J Pediatr Otorhinolaryngol. 71(6):943-8, 2007
                                          5. Koç O et al: Role of diffusion weighted MR in the discrimination diagnosis of the cystic and/or necrotic head and neck lesions. Eur J Radiol. 62(2):205-13, 2007
                                          6. Niedzielska G et al: Cervical lymphadenopathy in children--incidence and diagnostic management. Int J Pediatr Otorhinolaryngol. 71(1):51-6, 2007
                                          7. Luu TM et al: Acute adenitis in children: clinical course and factors predictive of surgical drainage. J Paediatr Child Health. 41(5-6):273-7, 2005
                                          8. Coticchia JM et al: Age-, site-, and time-specific differences in pediatric deep neck abscesses. Arch Otolaryngol Head Neck Surg. 130(2):201-7, 2004
                                          9. Leung AK et al: Childhood cervical lymphadenopathy. J Pediatr Health Care. 18(1):3-7, 2004
                                          10. Franzese CB et al: Peritonsillar and parapharyngeal space abscess in the older adult. Am J Otolaryngol. 24(3):169-73, 2003
                                          11. Handa U et al: Role of fine needle aspiration cytology in evaluation of paediatric lymphadenopathy. Cytopathology. 14(2):66-9, 2003
                                          12. Kendi T et al: MR spectroscopy in a cervical abscess. Neuroradiology. 45(9):631-3, 2003
                                          13. Moore SW et al: Diagnostic aspects of cervical lymphadenopathy in children in the developing world: a study of 1,877 surgical specimens. Pediatr Surg Int. 19(4):240-4, 2003
                                          14. Ahuja A et al: An overview of neck node sonography. Invest Radiol. 37(6):333-42, 2002
                                          15. Cmejrek RC et al: Presentation, diagnosis, and management of deep-neck abscesses in infants. Arch Otolaryngol Head Neck Surg. 128(12):1361-4, 2002
                                          16. Ishikawa M et al: MR imaging of lymph nodes in the head and neck. Magn Reson Imaging Clin N Am. 10(3):527-42, 2002
                                          17. Papakonstantinou O et al: High-resolution and color Doppler ultrasonography of cervical lymphadenopathy in children. Acta Radiol. 42(5):470-6, 2001
                                          18. Hudgins PA: Nodal and nonnodal inflammatory processes of the pediatric neck. Neuroimaging Clin N Am. 10(1):181-92, ix, 2000
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Diagnostic Checklist

                                                    TERMINOLOGY

                                                    • Synonyms

                                                      • Adenitis, acute lymphadenitis, intranodal abscess
                                                    • Definitions

                                                      • Pus formation within nodes from bacterial infection

                                                    IMAGING

                                                    • General Features

                                                      • Ultrasonographic Findings

                                                        • CT Findings

                                                          • MR Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Gross Pathologic & Surgical Features

                                                                    • Microscopic Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Białek EJ et al: Mistakes in ultrasound diagnosis of superficial lymph nodes. J Ultrason. 17(68):59-65, 2017
                                                                                  2. Hegde AN et al: Imaging in infections of the head and neck. Neuroimaging Clin N Am. 22(4):727-54, 2012
                                                                                  3. Ludwig BJ et al: Imaging of cervical lymphadenopathy in children and young adults. AJR Am J Roentgenol. 199(5):1105-13, 2012
                                                                                  4. Guss J et al: Antibiotic-resistant Staphylococcus aureus in community-acquired pediatric neck abscesses. Int J Pediatr Otorhinolaryngol. 71(6):943-8, 2007
                                                                                  5. Koç O et al: Role of diffusion weighted MR in the discrimination diagnosis of the cystic and/or necrotic head and neck lesions. Eur J Radiol. 62(2):205-13, 2007
                                                                                  6. Niedzielska G et al: Cervical lymphadenopathy in children--incidence and diagnostic management. Int J Pediatr Otorhinolaryngol. 71(1):51-6, 2007
                                                                                  7. Luu TM et al: Acute adenitis in children: clinical course and factors predictive of surgical drainage. J Paediatr Child Health. 41(5-6):273-7, 2005
                                                                                  8. Coticchia JM et al: Age-, site-, and time-specific differences in pediatric deep neck abscesses. Arch Otolaryngol Head Neck Surg. 130(2):201-7, 2004
                                                                                  9. Leung AK et al: Childhood cervical lymphadenopathy. J Pediatr Health Care. 18(1):3-7, 2004
                                                                                  10. Franzese CB et al: Peritonsillar and parapharyngeal space abscess in the older adult. Am J Otolaryngol. 24(3):169-73, 2003
                                                                                  11. Handa U et al: Role of fine needle aspiration cytology in evaluation of paediatric lymphadenopathy. Cytopathology. 14(2):66-9, 2003
                                                                                  12. Kendi T et al: MR spectroscopy in a cervical abscess. Neuroradiology. 45(9):631-3, 2003
                                                                                  13. Moore SW et al: Diagnostic aspects of cervical lymphadenopathy in children in the developing world: a study of 1,877 surgical specimens. Pediatr Surg Int. 19(4):240-4, 2003
                                                                                  14. Ahuja A et al: An overview of neck node sonography. Invest Radiol. 37(6):333-42, 2002
                                                                                  15. Cmejrek RC et al: Presentation, diagnosis, and management of deep-neck abscesses in infants. Arch Otolaryngol Head Neck Surg. 128(12):1361-4, 2002
                                                                                  16. Ishikawa M et al: MR imaging of lymph nodes in the head and neck. Magn Reson Imaging Clin N Am. 10(3):527-42, 2002
                                                                                  17. Papakonstantinou O et al: High-resolution and color Doppler ultrasonography of cervical lymphadenopathy in children. Acta Radiol. 42(5):470-6, 2001
                                                                                  18. Hudgins PA: Nodal and nonnodal inflammatory processes of the pediatric neck. Neuroimaging Clin N Am. 10(1):181-92, ix, 2000