HomeAnswersInternal Medicinecovid-19Do mediastinum lymph nodes enlarge in COVID-19 infection?

My COVID-19 positive father has a CT score of 2/25 with enlarged lymph nodes. Please help.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. P. C. Pavithra Pattu

Published At July 14, 2021
Reviewed AtAugust 13, 2021

Patient's Query

Hi doctor,

My father was diagnosed with COVID-19 three days back. He got both vaccinations done two months before. He is 74 years old, diabetic has had MI/CABG and CKD stage two (creatinine 1.0). His blood result came positive, and CT showed 2/25. The CT is showing some significant-sized lymph nodes and is bothering. Can you please look at the report and see what is going on? I have attached the reports for your reference. Please help.

Answered by Dr. Sugreev Singh

Hi,

Welcome to icliniq.com.

Thank you for writing, and I understand your concern. I have gone through reports (attachments removed to protect the patient's identity), and there is nothing severe, so first of all, please do not worry. Lymph nodes usually increase when there is an infection, and as he is COVID-19 (coronavirus disease 2019) positive, these lymph nodes are enlarged. His CT (computed tomography) score is 2, which is very mild. So observe the symptoms. Can you please tell me what symptoms he has currently? And what medicines are you giving him now?

Patient's Query

Hi doctor,

Thanks for the reply.

I read online that mediastinum lymph nodes are not enlarged in COVID-19. So I got scared as others suggest it could be a sign of cancer. Do you think so? He is in hospital, and they are observing him. His CRP is 10, and his D-dimer is 80, so no treatment is still given.

Answered by Dr. Sugreev Singh

Hi,

Welcome back to icliniq.com.

It is good that he is hospitalized. Enlarged lymph nodes are not confirmatory for cancer. They usually increase in bacterial infection or other kinds of respiratory infection. And if it were cancer, there would have been associated symptoms such as pain or weight loss or severe weakness and difficulties in breathing. So do not worry. Revert for more queries. Thanks.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sugreev Singh
Dr. Sugreev Singh

Internal Medicine

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