Lymphadenitis, infectious
Needs surgical consult for drainage of abscess if no improvement after 48 hours of antibiotic therapy. Bacterial, mycobacterial and fungal cultures recommended.
Acute
For complete list of infectious etiologies, see Recommended Empiric Therapy of Selected Infections in Adult Patients, Lymphadenitis
Usual Pathogens
Cervical
S. aureus
Group A Streptococci
Anaerobes
Mild
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Cephalexin | 40mg/kg/d PO div qid | Until resolution of tenderness and fever (max 10 days) |
Alternative
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Clindamycin | 20-40mg/kg/d PO div qid | Until resolution of tenderness and fever (max 10 days) |
Moderate-severe
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Cefazolin | 75mg/kg/d IV div q8h | Until resolution of tenderness and fever (max 10 days) |
| or | ||
| Clindamycin IV/PO | 20-40mg/kg/d IV div q8h or | Until resolution of tenderness and fever (max 10 days) |
| 20-40mg/kg/d PO div qid |