Prednisone for the Treatment of Acute Nonspecific Mesenteric Lymphadenitis

Momcilo Pavlovic; Zeljko Rokvic; Karolina Berenji

doi:10.3889/oamjms.2020.4219

Authors

Momcilo Pavlovic Children’s Ambulatory Care Center Subotica, Serbia
Zeljko Rokvic Department of Diagnostic Imaging, General Hospital Subotica, Serbia
Karolina Berenji Department of Hygiene and Human Ecology, Public Health Institute, Subotica, Serbia

DOI:

https://doi.org/10.3889/oamjms.2020.4219

Keywords:

Mesenteric lymphadenitis, Corticosteroids, Abdominal pain, Children

Abstract

BACKGROUND: Acute nonspecific mesenteric lymphadenitis refers to a common pediatric problem that has no specific treatment.

CASE REPORT: In our study, we describe seven children presenting with abdominal pain as the main symptom of a disease. All patients were treated with prednisone 1 mg/kg (max 40 mg daily) for a maximum of 5 days. In addition, we evaluated the intensity of the pain using a numeric rating scale and achieved a clinically important difference in acute pain relief of 85.3%. After administering corticosteroid therapy, the abdominal pain resolved after 1.7 (1–4) days in all children without any other disturbances.

CONCLUSION: In selective patients with mesenteric lymphadenitis, prednisone can be used as an acceptable form of treatment to reduce the duration of abdominal pain.

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Author Biography

Momcilo Pavlovic, Children’s Ambulatory Care Center Subotica, Serbia

I was born in 1961 inBelgrade, where I graduated from the University School of Medicine. I completed my specialization in pediatrics in University Children's HospitalÂ Belgradein 1995, and sub-specialist examination in the field of gastroenterology passed in 2006. In 2003, I obtained my MSc degree, and my PhD from the Medical Faculty inBelgradein 2012, with the doctoral thesis "Histopathological changes of intestinal mucosa in different clinical forms of celiac disease in children". In 2008 I was inaugurated with title of primarius from the Ministry of Health. Since 1995 IÂ am working in the General Hospital Subotica, last nine years as a Head of Pediatric Department. In 2012 I became professor at the College of vocational studies in Subotica.

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