Mesenteric Lymphadenitis on Point-of-Care Ultrasound in Pediatric Patients With Group A Streptococcal Pharyngitis: A Case Series.
Ee Tein Tay, Adriana Manikian
✦ AI-curated · Sources linked
Case in brief
Twelve children presented to a pediatric emergency department with symptoms suggestive of acute pharyngitis and abdominal pain. Each tested positive for Group A streptococcal pharyngitis, and point-of-care ultrasound showed mesenteric lymphadenitis. The report proposes that mesenteric lymphadenitis may account for abdominal pain in children with GAS pharyngitis, while noting that further studies are needed to validate this association. The abstract does not describe treatment or symptom resolution.
What made this case unusual
The report links abdominal pain during GAS pharyngitis with mesenteric lymphadenitis identified on point-of-care ultrasound; the proposed association remains unvalidated.
Diagnostic / clinical pearl
In a child with abdominal pain and suspected GAS pharyngitis, point-of-care ultrasound may identify mesenteric lymphadenitis as a possible correlate of the pain.