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Related Experiment Videos

Acute neck infections in children.

A Bülent Cengiz1, Ateş Kara, Güler Kanra

  • 1Section of Infectious Diseases, Department of Pediatrics, Hacettepe University, Faculty of Medicine, Ankara, Turkey.

The Turkish Journal of Pediatrics
|June 25, 2004
PubMed
Summary

This study on pediatric cervical lymphadenitis found Staphylococcus aureus as the most common pathogen. Most patients recovered well with antibiotics, but penicillin resistance was noted in some bacteria.

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Area of Science:

  • Pediatric Infectious Diseases
  • Otolaryngology
  • Microbiology

Background:

  • Cervical lymphadenitis is common in children, often presenting as abscesses.
  • Understanding the epidemiology and clinical features is crucial for effective management.

Purpose of the Study:

  • To determine the epidemiologic and clinical presentation of cervical lymphadenitis and abscesses in pediatric patients.
  • To identify common causative organisms and their antibiotic susceptibility.

Main Methods:

  • Retrospective review of 132 pediatric patients (2-15 years) with cervical lymphadenitis/abscess.
  • Analysis of pus, throat, and blood cultures.
  • Review of treatment regimens and patient outcomes.

Main Results:

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  • Upper anterior cervical and submandibular spaces were most affected.
  • Staphylococcus aureus was the most frequent isolate (50%), followed by Staphylococcus epidermidis.
  • Penicillin resistance was observed in 37.5% of Gram-positive isolates.
  • Throat and blood cultures were not predictive of etiologic agents.
  • Ampicillin-sulbactam was the primary treatment, with good recovery rates.

Conclusions:

  • Staphylococcus aureus is a primary pathogen in pediatric cervical lymphadenitis.
  • Antibiotic choice should consider local resistance patterns.
  • Ultrasonography is best reserved for selected cases to confirm abscesses.