Mutagenic (synonym mesenteric lymphadenitis) - inflammation of the lymph nodes of the mesentery. May develop after diseases of the upper respiratory tract, tonsils, appendectomy, tuberculosis and other diseases as a result of infection of the primary tumor in the lymph nodes of the mesentery hematogenous or lymphogenous ways. Downstream distinguish mutagenic acute and chronic. There is mutagenic mainly in children, characterized by sudden acute, not connected with the ingestion pain in the abdomen, in the area of the navel or the right of it, and in the right iliac region. Pains are cramping character, keep from 2-3 hour. up to 5 days and accompanied dyspeptic phenomena. Symptoms of peritoneal irritation expressed weakly. Differentiate mutagenic with appendicitis, ulcers, etc. When mesadenia recommended strict bed rest, a local heat, pain and antispastic funds; in tuberculous mesadenia is specific antibacterial treatment (see Tuberculosis). In acute purulent mesadenia shown urgent surgery.

Mutagenic (synonym mesenteric lymphadenitis) - inflammation of the mesenteric lymph nodes. Mutagenic often occurs in childhood and adolescence. Downstream there are acute and chronic mutagenic. The reason Meters can be tuberculosis, but more often nonspecific infection that spreads from the primary site (the upper respiratory tract) haematogenous by or through the intestinal tract and saliva, sputum. Meters can also be a reaction to the regional lymph nodes on the inflammatory process in the vermiform Appendix or in the intestines at any infectious disease, bacterial or viral.
The clinical picture. Lightning, or toxic, forms Meters are rare. Usually the patient's condition is not severe. The most persistent symptoms are abdominal pain localized in the right lower quadrant or in the navel; cramping pains are the nature and kept from 2-3 hours to 5 days. Sometimes nausea and sometimes vomiting. The temperature is either normal or 37,5-38 degrees. During the inspection of the abdomen is symmetric, the tension of the muscles of the abdominal wall is usually not observed. Symptoms of peritoneal irritation expressed little. In blood leukocytosis 15 000 - 30 000.
In chronic mesadenia abdominal pain of an uncertain localization and temporary character. Often marked bowel dysfunction. Diagnostics help symptom Sternberg (pain in the course of the root of the mesentery) and the symptom of " shifting pain" at the turn of the patient. The same pattern occurs and M. tuberculosis
Acute (tubercular) mutagenic sometimes ends suppuration mesenteric lymph nodes - purulent M While the patient's condition worsens significantly, the temperature becomes hectic, pulse frequent. Palpation is determined moderate muscle tension, sometimes it is possible to probe inflammatory conglomerate, which includes the packing and adjacent loops of small bowel. Very rarely the abscess breaks through into the abdominal cavity and developed peritonitis.
Acute Meters have to differentiate with appendicitis (see), but all similar symptoms (pain, tension of the abdominal muscles, irritation of the peritoneum and others) in appendicitis are much sharper. Often because of the difficulty of diagnosis of acute M. producing operation. Chronic M. differentiate with diseases involving mild abdominal pain, such as parasitic infection, chronic appendicitis.
Treatment conservative, strict bed rest, antibiotics, pain in the abdomen - pain-and antispastic funds, warmers. In acute purulent mesadenia - urgent surgery.