oa Central African Journal of Medicine - Lymphadenopathy in an African medical ward

Volume 8, Issue 9
  • ISSN : 0008-9176



This study reveals a few interesting observations. The first is that tuberculosis should always be first considered in any African subject seen with enlarged lymph nodes. The feel and firmness and discreteness of the glands in many of them may suggest lymphadenoma, but one should not be misled by this. The adult is often affected by tuberculous lymphadenopathy, whereas in my experience the African infant and child up to three years of age does not show it as often as one would have expected. Lymphosarcoma and next leukaemia in its different forms must always be considered, but lymphadenoma is rare. Sarcoid is possibly not as rare as this study might suggest, and perhaps further observations will cause one to reverse this opinion. Mononucleosis (glandular fever) is, for some unknown reason, rare in contrast to the European. The lymph glands of the groin are often enlarged in filariasis (W. bancrofti), but other manifestations of this disease such as elephantiasis and orchitis are usually found in associations with the glandular enlargement.

Loading full text...

Full text loading...


Article metrics loading...


This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error