Author/Editor		Čižman, M; Jazbec, J
Title		Bakterijski limfadenitis
Translated title		Bacterial lymphadenitis
Type		članek
Source		Slov Pediatr
Vol. and No.		Letnik 6, št. 4
Publication year		1999
Volume		str. 88-92
Language		slo
Abstract		Bacterial lymphadenitis is a common infectious disease in children and maybe caused by local or systemic infection. Cervical lymphadenitis is the most frequently encountered bacterial lymphadenitis in children. The causes of bacterial lymphadenitis are aerobic and anaerobic pyogenic bacteria, Bartonella henselae, mycobacteria and rarely other bacteria. The diagnosis of bacterial lymphadenitis is based most commonly on clinical findings, the definitive diagnosis is confirmed with the isolation of the causative agent and/or serological tests. Acute suppurative lymphadenitis is primarily due to the group A Streptococcus, Staphylococcus aureus, or both. Empiric treatment should include antibiotics with activity against both of these organisms. Penicillinase-resistant penicillins and penicillins are the drugs of choice. Persistance of substantial enlargement of lymph nodes or their enlargement despite empiric therapy indicates the need for further diagnostic evaluation and consideration of needle aspiratorin or excisional biopsy and specific therapy.
Summary		Bakterijski limfadenitis je pogosta okužba pri otrocih in je posledica lokalnih ali sistemskih okužb. Med lokalnimi limfadenitisi je najpogostejše vnetje bezgavk na vratu. Povzročitelj bakterijskega limfadenitisa so aerobne in anaerobne piogene bakterije, Bartonella henselae, redkeje mikobakterije in druge bakterije. Diagnoza bakterijskega limfadenitisa je predvsem klinična, dokončno etiološko diagnozo potrdimo z izolacijo povzročitelja in/ali s serološkimi preiskavami. Akutni gnojni limfadenitis najpogosteje povzročata Streptococcus pyogenes in Staphylococcus aureus ali obe. Izkustveno zdravljenje vključuje antibiotike, ki delujejo na ti dve bakteriji. Antibiotika izbire sta antistafilokokni penicilin ali penicilin. Če ne pride do kliničnega izboljšanja ali se stanje med zdravljenjem poslabša, so indicirane nadaljne diagnostične preiskave, vključno z tankoigelno biopsijo in ekscizijo bezgavke ter specifično zdravljenje.
Descriptors		LYMPHADENITIS BACTERIAL INFECTIONS CHILD