Clinical Cases

A Case of Mesenteric Adenitis

Written by AP Sivakumaran

Dr. A.P. Sivakumaran solves a case of Mesenteric Adenitis

Presenting complaints:

A eleven years old male child presented with recurrent tendency to catch cold, sneezing < morning, slightest climatic change, weakness 2+,  want of appetite, recurrent attacks of fever, emaciation, pain in abdomen with nocturnal enuresis, and offensive diarrhea. He also has dry cough < morning. The patient is physically weak, mentally active and keen.

Past history: Tonsillectomy one year back and anti- tuberculosis treatment for primary complex. History of recurrent boils treated by allopathic medications.

Family history : Mother with a history of Dysfunctional Uterine Bleeding

Physical generals: Appetite – Want of appetite

Thirst – drinks less than 2 liters per day; Stool – offensive diarrhea; Urine – nocturnal enuresis;
Sleep – disturbed by cough; Sweat – normal; desire for eggs, craving for non-veg3+

Physical examination : Examination of the neck shows enlargement of cervical glands. Inguinal lymph nodes enlarged, temperature was 103 F.

Systemic examination CVS – NAD, RS – monophonic wheezing heard throughout the lung fields. Weight – 18 kgs.

Mental generals : Active, restless, but physically weak.

Investigations : Mantoux positive. The Ultra Sonogram of the abdomen illustrated that multiple enlarged mesenteric lymph nodes and large iliac nodes are seen in the right iliac fossa – Mesenteric adenitis (Refer Plate I)

First prescription
26/08/2009  Tuberculinum 1M / one dose orally. He was also advised to take a protein-rich diet and to avoid coffee and tea intake.

Follow-up 1
31/08/2009 Cough and cold had decreased significantly. He complained of mild left-sided headache and left-sided nasal obstruction. Temperature was 100 F. Placebo was administered. They were given some general management tips and asked to wait for further progress. No complaints of diarrhea. No complaints of abdominal pain. Nocturnal enuresis reduced.

Follow-up 2
18/09/2009 Acute coryza1+ , appetite had improved, generals were normal. Placebo was administered.

Follow-up 3
02/10/2009 No complaints, generally improved. Placebo was administered. No complaints of nocturnal enuresis.

Follow-up 4

04/11/2009 On examination, the cervical gland enlargement had reduced to a significant extent. Inguinal node enlargement had also reduced as well. No attacks of fever, cold, or cough. Weight – 23 kgs. The patient was further encouraged to consume a protein-rich diet. Placebo was given.

Follow-up 5
23/11/2009 The patient had improvement. Placebo was given for 15 days.

Follow-up 6
10/12/2009 The patient was advised to undergo another USG .It shows no evidence of enlarged mesenteric glands. (Refer plate – II) Mantoux negative

Tuberculimnum is the simillimum for this case and was prescribed based on the tubercular miasmatic expression. This factor was well-indicated by the history of suppression of primary complex. Tuberculinum is the most suitable prescription for children with respiratory complaints. In my practice, the majority of children have shown improvement with this remedy.


(See labwork below)


About the author

AP Sivakumaran

Doctor.Sivakumaran graduated from Dr. MGR. Medical University , P.G in psychology, prof in yoga and natural living, dietitian, and is the founder of the Genuine Homeopathic Clinical Research Center, Tamilnadu India, where is practices classical homeopathy. Visit Dr. Kumaran’s blog:


  • Dear Dr. Sivakumar

    My wife is aged 43 yrs old and weighs 94 kgs and is taking medicines for diabetics like Amaryl 1, Erichtel CH40, Rosuvas5, Olix 0.3 etc and also treated for Thyroid for two years but now only have problem related to Diabetics and also frequent issues related to vein getting knotted in thighs and also have nerve pains for which a local homeopath suggested silicea which she is taking now apart from her diabetic english medicines.

    I would like to know whether you have any cure for her issues related to weight, diabetics and vein knots, nerve pain considering her history including thyroid, removed about 11 years back gall bladder due to stones, arthirities etc.

    How can I reach you through email and can give all reports to get suggestion for curing her for diabetics, nerve pain, vein knots etc. Please revert back

    [email protected]

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