Mesenteric lymphadenitis is caused by upper respiratory tract infection as a result of the ileum. Mesenteric lymphadenitis types include:
1. Acute mesenteric lymphadenitis: This disease often linked to upper respiratory tract infection. Clinical manifestations were fever, abdominal pain, vomiting, or diarrhea or constipation. Sometimes pain in right lower abdomen, like colic, but also in other parts of the body, so easily misdiagnosed as acute appendicitis, when the operations proved to be mesenteric lymphadenitis. This disease is a viral infection and more generally of natural recovery (see digestive system disease of acute mesenteric lymphadenitis chapter a separate section).
2. Chronic mesenteric lymphadenitis: often caused by tuberculosis, with intestinal tuberculosis or tuberculous peritonitis, with a history of exposure to tuberculosis. Clinical manifestations of tuberculosis to chronic poisoning symptoms, low-grade fever, night sweats, fatigue, anorexia, abdominal pain, may be in the right lower quadrant or left upper abdominal lymph node swelling palpable, obvious tenderness. Effective anti-tuberculosis treatment in general. Necessary to consider surgery.
Cause of mesenteric lymphadenitis: causes if streptococcal infection of the blood, but also that with the intestinal and parasitic diseases related to inflammation. Was particularly prevalent in the ileum. Multiple lymph nodes were bloodshot, swollen. There are a small number of intra-abdominal inflammatory exudate. Endoscopic sinus can be seen the expansion of neutrophils from the small blood vessels into the lymphatic sinus, phagocytosis of bacteria. Some of leukocyte degeneration occurred could be the collapse of the formation of cell debris or material variability. Lymph node is also the expansion of the vascular congestion, germinal center hyperplasia and sinus cells and immune cell proliferation.
Symptoms of mesenteric lymphadenitis: is commonly found in children under the age of 15, in the upper respiratory tract infection, a pharyngodynia, burnout does not apply, followed by abdominal pain, nausea and vomiting, fever, abdominal pain is more occured in right lower abdomen and toperiumbilical, showing paroxysmal attack, there is tenderness and anti-throbbing, but not as good as appendicitis serious pain point is not fixed.
Diagnosis of mesenteric lymphadenitis: Routine analysis of blood: Interleukin increase, occasional lymphocytes, increase the proportion of mononuclear cells.
Treatment of mesenteric lymphadenitis: If a history of typical, relatively wide range of abdominal tenderness, no abdominal tension may be non-surgical treatment, intravenous antibiotics, or by clearing away heat and toxic agents. Should closely observe the changes in abdominal signs, should in time treatment if found other induced disease.