Q. What can cause lymph node enlargement in the neck?

Answered by
Dr. Anshuman Srivastava
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 24, 2018 and last reviewed on: Oct 09, 2018

Hi doctor,

I would like to seek your help on higher lymphocyte count. I am taking antibiotics after my doctor noticed enlarged lymph nodes on my neck and edge of my ears. I am under medication to check whether this infection is due to some throat issues or not. But, my ESR count remains same after a week. My platelet count is settled in comparison to my earlier reports. I have attached my reports for your reference. Please help.

Dr. Anshuman Srivastava

General Medicine Internal Medicine


Welcome to icliniq.com.

  • Your other cell counts are normal including platelets and RBC count (red blood cell). You need not worry about the elevated lymphocytes as they will get settled once the infection is curtailed.
  • But, if the lymph nodes do not decrease in size in one or two weeks, then you have to get a FNAC (fine needle aspiration cytology) done to rule out diseases like tuberculosis and a few blood disorders.
  • Do not worry. It will not turn out to be tuberculosis or leukemia. It has to be kept in mind always for the differential diagnosis. Continue your antibiotics for five days.

Investigations to be done:

FNAC and Mantoux test.

Differential diagnosis:

Viral or tubercular.

Regarding follow up:

Revert back with the reports to a general medicine physician online---> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician

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Thank you doctor,

I have undergone the PFT test and x-ray chest PA view a week back and both appears normal. Lymph nodes behind my ear and head at several places are settled after a week of antibiotic, but lymph node on my neck is still there though it has reduced a bit. Lymphocytes values have increased mainly after antibiotic intake earlier, it was normal with a little higher value of monocytes and low value of platelet counts. Please advise the specialty doctor I should consult. What is the best way to go further on this?

Dr. Anshuman Srivastava

General Medicine Internal Medicine


Welcome back to icliniq.com.

  • An internal medicine specialist or a hematologist would be the best one to guide you.
  • Although it seems to be a self limiting illness, you can wait for a week. The counts and other things would settle down by that time.

For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician

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