. The diseases of infancy and childhood. thanin those which suppurate; but it isless diffuse and apparently limitedto the gland. It subsides slowly inthe course of from four to eightweeks, often leaving a small tumor which may be apparent for severalmonths. In susceptible children recurrent attacks of acute inflammationmay lead to chronic enlargement which may last indefinitely. These .glands do not become cheesy, except from subsequent tuberculous in-fection. The acute cases in infancy in which suppuration occurs, appear torecover about as promptly and quite as completely as those terminating
. The diseases of infancy and childhood. thanin those which suppurate; but it isless diffuse and apparently limitedto the gland. It subsides slowly inthe course of from four to eightweeks, often leaving a small tumor which may be apparent for severalmonths. In susceptible children recurrent attacks of acute inflammationmay lead to chronic enlargement which may last indefinitely. These .glands do not become cheesy, except from subsequent tuberculous in-fection. The acute cases in infancy in which suppuration occurs, appear torecover about as promptly and quite as completely as those terminatingin resolution, although in the former the constitutional symptoms aremore severe. Diagnosis.—This is usually easy if it is remembered that, with theexception of the specific infectious diseases, and occasionally local causeslike eczema of the scalp, carious teeth, etc., acute suppurative adenitisis essentially a disease of infancy. It is often mistaken for mumpswhen the swelling is severe, but on close examination there is but little. Fig. 132.—Acute Suppurative Ade-nitis (inguinal) in an InfantThree Months Old. SIMPLE CHRONIC ADENITIS 865 resemblance between the conditions. The disease is usually acute, andhas little in common with the slow suppuration seen in later childhoodfrom the breaking down of tuberculous glands. In the occasional casesseen in which the disease runs a slower course a diagnosis from the tu-berculous form may be aided by a tuberculin test. Treatment.—Prophylaxis requires that in all acute catarrhs themucous membrane should be kept as clean as possible by the use of nasalor pharyngeal sprays, or by careful syringing with simple solutions likeDobells or Sellers, or a simple saline. In the stage of acute inflammation very hot applications or an ice-bag may be used for the relief of pain. It is very doubtful whethereither of these means has much influence in preventing suppuration. Ifabscess forms, incision should be deferred until pointing has taken pl
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