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Related Experiment Videos

Pneumococcal facial cellulitis in children.

L B Givner1, E O Mason, W J Barson

  • 1Department of Pediatrics, Wake Forest University School of Medicine, Winston-Salem, North Carolina, 27157, USA. lgivner@wfubmc.edu

Pediatrics
|November 4, 2000
PubMed
Summary
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Facial cellulitis in young children is often caused by Streptococcus pneumoniae. Most cases respond well to treatment, and many strains are covered by the pneumococcal vaccine.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Epidemiology

Background:

  • Facial cellulitis is a common skin infection in children.
  • Streptococcus pneumoniae is a significant bacterial pathogen in pediatric infections.

Purpose of the Study:

  • To investigate the epidemiology and clinical features of facial cellulitis caused by Streptococcus pneumoniae in children.
  • To assess treatment outcomes and antibiotic susceptibility patterns.

Main Methods:

  • Retrospective review of 52 pediatric cases of pneumococcal facial cellulitis across 8 US children's hospitals (1993-1998).
  • Analysis of patient demographics, clinical presentation, laboratory findings, and treatment responses.

Main Results:

  • The majority of patients (92%) were under 36 months old.

Related Experiment Videos

  • Fever and leukocytosis were common presenting symptoms.
  • Blood cultures were positive for S. pneumoniae; serotypes 14 and 6B were most common.
  • Antibiotic resistance was low, and disease severity was similar for susceptible and non-susceptible isolates.

    • Conclusions:

    • Pneumococcal facial cellulitis predominantly affects young children at risk for bacteremia.
    • Clinical presentation typically includes fever and leukocytosis.
    • Treatment outcomes are generally favorable, irrespective of penicillin susceptibility.
    • Most causative serotypes are included in the heptavalent-conjugated pneumococcal vaccine.