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[Suppurative cervical lymphadenitis in children. Review of 45 patients]
M François1, P Mariani-Kurkdjian, W Elbakkouri
1Service ORL, Hôpital Robert Debré, 48, bd Sérurier, 75935 Paris Cedex 19. martine.francois@rdb.ap-hop-paris.fr
Insights
Staphylococcus aureus commonly causes pediatric suppurative cervical lymphadenitis. While antibiotics are used, surgical drainage is often necessary for effective treatment of this infection.
Area of Science:
- Pediatric infectious diseases
- Bacteriology
- Surgical management
Background:
- Suppurative cervical lymphadenitis is a common pediatric condition.
- Bacteriological etiology and treatment effectiveness require further investigation.
Purpose of the Study:
- To review bacteriological features of pediatric suppurative cervical lymphadenitis.
- To evaluate treatment strategies for optimal outcomes.
Main Methods:
- Retrospective analysis of 45 hospitalized children with suppurative cervical lymphadenitis.
- Bacteriological sampling and analysis.
- Evaluation of antibiotic therapy (cefotaxime, fosfomycin) and surgical drainage.
Main Results:
- Staphylococcus aureus (methicillin-susceptible) was the predominant pathogen identified in 20 of 45 patients.
- 15 samples were sterile; 29 patients received prior antibiotics.
- Needle aspiration with antibiotics was sufficient in 14 cases; surgical drainage was required for others.
Conclusions:
- Staphylococcus aureus is the primary cause of acute suppurative lymphadenitis in children.
- Outpatient antibiotic therapy may not prevent abscess formation.
- Surgical intervention is frequently necessary for complete resolution.
Objective:
To review the bacteriological features and treatment of suppurative cervical lymphadenitis in children in order to achieve optimal treatment.
Patients And Methods:
Forty-five children were hospitalized. Time of hospitalization was evenly distributed over Year and between Years. Age ranged from 2.5 Months to 13.5 Years (median 1 Year 10 Months). Twenty-nine patients had received prior antibiotic treatment. Bacteriological samples were sterile in 15 out of 45 children and were positive for Staphylococcus (all meti-S) in 20. Cefotoxim and fosfomycin were prescribed and was sufficient in 14 children (with needle aspiration). Surgical drainage was performed in the other cases.
Conclusion:
Staphylococcus aureus is the predominant causal agent for acute suppurative lymphadenitis in children. Antibiotic therapy in the outpatient setting does not always prevent abscess formation and surgical drainage may be required.
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