Lymph nodes are critical to the immune response of the body and any infection to it may result to a variety of complicated conditions that can compromise the body's immunity against virus and bacteria making one susceptible to illnesses. Lymph nodes around the groin region are called inguinal lymph nodes. Inguinal lymph node infection may be due to underlying diseases, which need immediate diagnosis and treatment.
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The main cause of inguinal lymph node enlargement is infection. Some causes of inguinal lymph node infection are due to trauma, burns, radiation, insect bites, midges bites, chemical injury, leg infections, folliculitis and sexually transmitted diseases. Rapid enlargement of the affected nodes, fever, scrotal pain and tenderness, chills, muscle pains, headache and weight loss are the common initial symptoms. Patient complains of feeling a mass on the genital area with discomfort and redness.
Lymph node inflammation is often a minor concern but once accompanied with enlargement it may indicate the presence of a more serious illness. The diagnosis of inguinal lymph node infections may involve physical examination and palpation. Signs of swelling and infections are easy to identify in lymph nodes on the neck, groin and arms. Complete medical history is necessary to trace the possible causes of inguinal lymph node infection and enlargement.
Inguinal lymph node infection is a superficial manifestation of an underlying disease process due to its contiguity to the affected site. This may include bacterial infections (primary and secondary syphilis), viral infections (infectious mononucleosis, infectious hepatitis, herpes simplex 2) and parasitic infections (toxoplasmosis, leishmaniasis and filariasis). The presence of two or more swollen lymph nodes throughout the body may be an indication of the presence of bacterial and viral illnesses, pharmacological side effects, side effects of vaccination for measles, mumps and rubella, AIDS, cancer and syphilis.
Conventional treatment uses trampoline "rebounder" that reduces lymphatic congestion. Massage and manual lymphatic drainage use a wide range of rhythmic gentle strokes that help relieve stress, improves circulation and lymph flow. The use of appropriate antibiotics, such as third generation cephalosporins or combination therapy, can help remedy the bacterial infection present.
Avoid constant pressure, sleeping on the affected side and wearing of tight clothing and undergarments as these may further impede the blood circulation that can exacerbate the lymph node obstruction. In cases of infections caused by arthropod bites, it is wise not to travel on identified endemic areas. The use of repellent lotion can help prevent transmission.
Appropriate management is dependent on the cause. Post operative scarring, trauma, hematoma or congenital lymphatic abnormalities can mimic the symptoms of infection and will delay the treatment.
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