Neck Lumps in Children

Most head and neck lumps result from congenital or inflammatory processes. In the majority of the cases, an acute bilateral lymph node enlargement is lymphadenitis associated with a viral infection. An acute unilateral neck lump is a bacterial lymphadenitis caused by Staphylococcus aureus or group A betahaemolytic streptococci in 40 - 80% of the cases. Long-lasting lumps in the jaw angles and beside the sternocleidomastoideus muscle are almost invariably innocent. The most common infectious causes of chronic lymphadenitis of the neck are toxoplasmosis, atypical mycobacteria, and cat-scratch disease.

 

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