Lymphadenopathy medical therapy

Lymphadenopathy Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Lymphadenopathy from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Criteria
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X Ray
CT scan
MRI
Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Lymphadenopathy medical therapy On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Lymphadenopathy medical therapy All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Lymphadenopathy medical therapy
CDC on Lymphadenopathy medical therapy
Lymphadenopathy medical therapy in the news
Blogs on Lymphadenopathy medical therapy
Directions to Hospitals Treating Lymphadenopathy
Risk calculators and risk factors for Lymphadenopathy medical therapy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]; Vendhan Ramanujam M.B.B.S [3]

Principles of Therapy

Medical management of lymphadenopathy depends on the underlying cause.

• Antibiotics, antivirals, antifungals and antiparasitic medications are prescribed for infections due to bacteria, virus, fungi and parasites respectively.
• Chemotherapy is instituted for those tumors that cannot be treated by surgery.
• Radiation therapy is used in refractory tumors and metastatic tumors.

Therapy Based on Clinical Form

Generalized Lymphadenitis

Pathogen Based Therapy

▸ Click on the following categories to expand treatment regimens.

Bacteria   ▸  Mycobacterium Tuberculosis   ▸  Brucella   ▸  Leptospira   ▸  Treponema pallidum   ▸  Burkholderia   ▸  Salmonella Typhi Chlamydia   ▸  Chlamydia Trachomatis Fungi   ▸  Histoplasma   ▸  Cryptococcus Neoformans Viral   ▸  Measles Virus   ▸  Rubella Virus   ▸  Epstein-Barr Virus   ▸  Cytomegalovirus   ▸  Herpes Simplex Virus   ▸  Human Immunodeficiency Virus Protozoans   ▸  Leishmania   ▸  Trypanosoma   ▸  Toxoplasma Gondii Helminths   ▸  Brugia Malayi   ▸  Wuchereria Bancrofti

Mycobacterium Tuberculosis Preferred Regimen Intensive Phase † ▸ Isoniazid 5 mg/kg PO qd OR ▸ Isoniazid 10 mg/kg PO 3 times per week PLUS ▸ Rifampicin 10 mg/kg PO qd OR ▸ Rifampicin 10 mg/kg PO 3 times per week PLUS ▸ Pyrazinamide 25 mg/kg PO qd OR ▸ Pyrazinamide 35 mg/kg PO 3 times per week PLUS ▸ Ethambutol 14.5-21.1 mg/kg PO qd OR ▸ Ethambutol 36.4-52.6 mg/kg PO 3 times per week' Continuation Phase †† ▸ Isoniazid 5 mg/kg PO qd OR ▸ Isoniazid 10 mg/kg PO 3 times per week × 2 months PLUS ▸ Rifampicin 10 mg/kg PO qd OR ▸ Rifampicin 10 mg/kg PO 3 times per week × 2 months † For 2 months †† For 4 months Adapted from Treatment of Tuberculosis: Guidelines.

Regional Lymphadenitis

Pathogen Based Therapy

▸ Click on the following categories to expand treatment regimens.

Cervical Lymphadentitis - Bacteria   ▸  Group A Beta-Hemolytic Streptococci   ▸  Staphylococcus Aureus   ▸  Mycobacterium Tuberculosis   ▸  Mycobacterium Scrofulaceum   ▸  Mycobacterium Avium-Intracellulare   ▸  Bartonella Henselae   ▸  Francisella Tularensis Cervical Lymphadentitis - Protozoans   ▸  Toxoplasma gondii Axillary Lymphadentitis - Bacteria   ▸  Group A Beta-Hemolytic Streptococci   ▸  Staphylococcus Aureus   ▸  Bartonella Henselae   ▸  Francisella Tularensis   ▸  Yersinia Pestis Axillary Lymphadentitis - Fungi   ▸  Sporotrichosis Inguinal Lymphadentitis - Bacteria   ▸  Group A Beta-Hemolytic Streptococci   ▸  Staphylococcus Aureus   ▸  Bartonella Henselae   ▸  Francisella Tularensis   ▸  Yersinia Pestis   ▸  Treponema Pallidum   ▸  Haemophilus Ducreyi Inguinal Lymphadentitis - Chlamydia   ▸  Chlamydia Trachomatis Inguinal Lymphadentitis - Viral   ▸  Herpes Simplex Virus Lymphadentitis of Extremities - Bacteria   ▸  Francisella Tularensis   ▸  Mycobacterium Marinum   ▸  Mycobacterium Chelonae   ▸  Nocardia Brasiliensis Lymphadentitis of Extremities - Fungi   ▸  Sporotrichosis Lymphadentitis of Extremities - Protozoans   ▸  Leishmania Mycobacterium Tuberculosis Preferred Regimen Intensive Phase † ▸ Isoniazid 5 mg/kg PO qd OR ▸ Isoniazid 10 mg/kg PO 3 times per week PLUS ▸ Rifampicin 10 mg/kg PO qd OR ▸ Rifampicin 10 mg/kg PO 3 times per week PLUS ▸ Pyrazinamide 25 mg/kg PO qd OR ▸ Pyrazinamide 35 mg/kg PO 3 times per week PLUS ▸ Ethambutol 14.5-21.1 mg/kg PO qd OR ▸ Ethambutol 36.4-52.6 mg/kg PO 3 times per week' Continuation Phase †† ▸ Isoniazid 5 mg/kg PO qd OR ▸ Isoniazid 10 mg/kg PO 3 times per week × 2 months PLUS ▸ Rifampicin 10 mg/kg PO qd OR ▸ Rifampicin 10 mg/kg PO 3 times per week × 2 months † For 2 months †† For 4 months Adapted from Treatment of Tuberculosis: Guidelines. References