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Buccal cellulitis.

J S Walker1, K J Corcoran

  • 1Department of Surgery, University of Oklahoma Health Science Center, Oklahoma City 73126.

The American Journal of Emergency Medicine
|November 1, 1990
PubMed
Summary
This summary is machine-generated.

Buccal cellulitis (BC) in infants often indicates bacteremia, particularly with Hemophilus influenzae, presenting as cheek infection. Prompt diagnosis and parenteral antibiotics are crucial, with lumbar puncture recommended for at-risk children due to potential meningitis.

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Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Bacteriology

Background:

  • Buccal cellulitis (BC) is a common cheek infection in children.
  • It frequently occurs with concurrent bacteremia, especially in infants under 12 months.
  • A short prodrome of coryza and fever often precedes BC onset.

Observation:

  • A purplish discoloration of the affected cheek suggests Hemophilus influenzae bacteremia.
  • Meningitis can be present even without typical meningeal signs.
  • Complete blood count, blood culture, and aspirate culture are essential diagnostic tools.

Findings:

  • The vast majority of children with BC are bacteremic.
  • Parenteral antibiotic treatment is typically required.
  • Lumbar puncture is indicated for children at risk for bacteremic BC to rule out meningitis.

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Implications:

  • Early recognition and management of BC are vital to prevent serious complications.
  • Diagnostic protocols should include evaluation for bacteremia and meningitis.
  • Understanding BC's association with bacteremia guides appropriate pediatric infectious disease management.