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Problem: Cervical lymphadenopathy is common in pediatric age group by which the presence of one or more lymph nodes with or without abnormalities. Due to higher observation of congenital abnormalities, infections and malignancy, differential diagnosis of persistent nodular change in the neck is different among childhood. The objective of this study is to analyze the clinical and pathological diagnoses of cervical lymphadenopathy with special emphasize to Fine needle aspiration cytology (FNAC). Methodology: A detailed clinical examination and history is the initial approach to these children presenting with cervical lymphadenopathy. Majority of the children had focus in draining areas in throat, ear and scalp on clinical examination. These children were treated with appropriate antibiotics for 4 weeks. Non responders were subjected to FNAC for further evaluation. Children with strong suspicion of systemic illness like tuberculosis having positive contact history, Mantoux positivity, chest Xray abnormality and constitutional symptoms were subjected to FNAC. Based on cytological findings, granulomatous and caseating adenitis was treated with ATT under RNTCP guidelines. Findings: In this study, the age group from 5 to 8 recorded more (46.7%) and male predominated (53.3%). Swelling neck and fever are the prime clinical symptoms noted with 80% each followed by cough (72%). While comparing various groups of cervical lymphnodes, anterior cervical dominated with 41.3% followed by sub-mandibular (33.3%) and posterior cervical (12%). The FNAC findings of lymphnodes determined reactive hyperplasia (74.7%) among maximum patients followed by granulomatous lymphadenitis (13.3%). Overall, 88% of clinical diagnosis was correlated well with FNAC. Conclusion: Although FNAC is a reliable diagnostic tool with minimum complications when compared to other tests, its specificity remains high when it is correlated with other investigations in detecting granulomatous lesions especially tuberculosis.

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Influence of Media Reportage of Flood Management on the Knowledge, Attitudes and Practices of Residents of South-South Nigeria

1Boniface Ossai Onyedi, 2Joseph Oluchukwu Wogu

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