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A 37-year-old female asked:

Are enlarged lymph nodes always painful when caused by infection? can they be hard, or are they soft w/infection? ddx of hard, enlarged node by ear?

1 doctor answer1 doctor weighed in
Dr. Liawaty Ho
Hematology and Oncology 25 years experience
Lymph nodes: If swollen lymph node is related to an acute infection, it will be painful. However in chronic infections, like tuberculosis, syphillis-it can be painless. The consistency varies- it could be rubbery, firm- but when abscess starts to develop/ contains pus- the swollen lymph gland can be soft and fluctuant. Ddx in your case-would be process n the ear or around the ear or other area in the head/neck.
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Last updated Apr 25, 2016


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