id author title date pages extension mime words sentences flesch summary cache txt cord-322746-28igib4l Gosche, John R. Acute, subacute, and chronic cervical lymphadenitis in children 2007-06-06 .txt text/plain 4721 276 33 Involvement of superficial or deep cervical lymph nodes is also frequently indicative of the site of entry since superficial nodal enlargement usually reflects invasion through an epithelial surface (eg, buccal mucosa, skin, scalp), whereas deep nodal enlargement results from an infectious process involving more central structures (eg, middle ear, posterior pharynx). Finally, serologic testing for human immunodeficiency virus (HIV) should be considered in any patient with at-risk behaviors, generalized lymphadenitis, and unusual or recurrent infections caused by opportunistic organisms. Plain radiographs are seldom necessary in patients with acute cervical lymphadenitis, but may occasionally document the primary site of an infection (eg, pneumonia, sinusitis, or dental caries). 8 Acute viral associated cervical lymphadenitis typically develops following an upper respiratory tract infection. 11 Bilateral, acute cervical lymphadenitis associated with a viral upper respiratory tract infection rarely requires additional diagnostic testing or specific therapy. ./cache/cord-322746-28igib4l.txt ./txt/cord-322746-28igib4l.txt