What is the cause for persistent swollen lymph nodes with fever?

Hello,

Welcome to icliniq.com.

Thanks for your query and I understand your concerns. Persistent swollen lymph node requires tissue biopsy (sampling) as it could represent serious conditions especially if painless. Can you estimate the size? Is it painful? Is it single or multiple? The possible causes are TB (tuberculosis), chronic infection, lymphoma and other blood diseases.

Please provide me with more details and send me the investigations to narrow the differentials. For further advice, please do not hesitate to follow up.

Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician

Hello,

Welcome back to icliniq.com.

Thanks for your follow up. You have chronic cervical lymphadenopathy which could be due to glandular fever or tuberculosis or chronic infection like chronic tonsillitis or sinus infection or dental infection or lymphoma or any other blood diseases.

Do you have any pharyngitis, dental infection or tonsillitis? Any chronic infections? Any lymph nodes in other parts of the body?

My advice:

1. Send me the CBC (complete blood count) photocopy.
2. Perform chest X-ray.

In case we find any reasonable cause, we will treat accordingly or if we can not find the cause fine needle cytology will be required. Being painless suggest other causes than infection. I am willing to do a follow up in your case and provide consultations to reach the appropriate diagnosis.

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

Hello,

Welcome back to icliniq.com.

Thanks for your follow up. Glandular fever is a viral infection EBV (Epstein-barr virus) causing fever, tonsillitis, cervical lymphadenopathy, enlarged liver, and spleen.

Do you have a dental infection, tonsillitis or pharyngitis? Do you have any enlarged lymph nodes in other parts of the body? Chest X-ray is required to exclude tuberculosis and the presence of lymphadenopathy in the lungs.

For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician