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Mesenteric lymphadenitis, Symptoms and causes

Mesenteric lymphadenitis is swelling of the lymph nodes in your abdomen. The condition affects children and young adults under 20 years old. Read the article to know more.
authorImageNivedita Dar2 Sept, 2024
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Mesenteric lymphadenitis

Mesenteric Lymphadenitis: An Inflammation of Mesenteric Lymph Nodes. Lymphadenitis is a condition in which the small round or bean-shaped clusters of cells, called lymph nodes, become swollen and inflamed. The swelling can affect the lymph nodes in the membrane that connects the bowel to the wall around the stomach area, called the mesentery. Then the condition is called mesenteric lymphadenitis.

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Etiology

The most common cause of mesenteric lymphadenitis is a viral infection, such as gastroenteritis. Gastroenteritis is often called stomach flu. This infection causes inflammation and swelling in the lymph nodes in the thin tissue that attaches the intestine to the back of the wall around the stomach area, called mesentery.

Other causes of mesenteric lymphadenitis include bacterial infection, inflammatory bowel disease and lymphoma.

Bacterial Causes

Bacterial infections like cat scratch disease and Helicobacter pylori can cause mesenteric lymphadenitis. The cat scratch disease is a rare infection. When a cat licks a person’s open wound or scratches or bites a person harsh enough to break the skin of the person. It can cause infection. The bacterial infection passes through the cat’s saliva. The infected area will be swollen with red rounds. This can be assisted with lesions and pus. Bartonella henselae is a gram-negative bacteria that causes inflammation in the lymph nodes and leads to mesenteric lymphadenitis.

Viral Causes

Mesenteric lymphadenitis is commonly caused by viral infection. Stomach flu or gastroenteritis causes inflammation of lymph nodes. Mesenteric lymphadenitis caused by viral infection is called mesenteric adenitis. Viral infection like tuberculosis and HIV also causes inflammation in the lymph nodes. The common symptoms will be tender and red skin over the lymph node and fever.

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Symptoms and Signs

Most symptoms of mesenteric lymphadenitis are confused with appendicitis. Pain in the abdomen is a common symptom of mesenteric lymphadenitis caused due to inflammation in the lymph nodes.

The tenderness in the abdomen is due to inflammation in the lymph nodes.

Sometimes people infected with mesenteric lymphadenitis may have fever assisted with chills. Nausea and vomiting are less common. Since mesenteric lymphadenitis is an intestine-related disease, nausea and vomiting can be common. Diarrhea can be caused by severe conditions of mesenteric lymphadenitis. People affected with mesenteric lymphadenitis sometimes have a loss of appetite , which can lead to weight loss.

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Diagnosis

Diagnosing mesenteric lymphadenitis involves taking a medical history and doing an exam. Tests might include:

Blood tests. Certain blood tests can help show if there's an infection and what type of infection it is.

Imaging studies. An ultrasound of the stomach area is often used to diagnose mesenteric lymphadenitis. A CT Scan of the stomach area also might be used.

Mesenteric lymphadenitis FAQs

What’s the role of inflammatory markers in diagnosing mesenteric lymphadenitis?

Inflammatory markers, such as C-reactive protein (CRP) and white blood cell count, can help indicate the presence of inflammation in mesenteric lymphadenitis, but they are nonspecific and must be interpreted alongside clinical findings and imaging studies.

What is the complication of mesenteric lymphadenitis?

Complications of mesenteric lymphadenitis can include abscess formation, bowel obstruction, or, rarely, sepsis if the condition is severe and left untreated.

Why is aspirin avoided in children with viral fever?

Aspirin is avoided in children with viral fever due to the risk of Reye’s syndrome, a rare but serious condition that can cause liver and brain damage.

What is the role of IBD in mesenteric lymphadenitis?

Inflammatory Bowel Disease (IBD) can lead to mesenteric lymphadenitis as part of the chronic inflammation associated with conditions like Crohn’s disease, contributing to abdominal pain and other symptoms.
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