Management: If the node is fluctuant, aspiration provides useful etiologic information and speeds the rate of resolution Children who fail to respond to empiric antibiotic therapy and children with tuberculosis risk factors who present with adenitis should have a TST placed Children with cervical adenitis who are otherwise healthy should receive an antibiotic effective against S aureus and the GAS While clindamycin (10 mg/kg/dose three times daily; maximum: 600 mg/dose) has activity against both pathogens, trimethoprim-sulfamethoxazole (TMPSMZ) will not offer GAS coverage The decision about which oral antibiotic to select depends on the level of methicillin-resistant S aureus (MRSA) in a community Indications for inpatient admission and parenteral antibiotics include: toxic appearance; young age (