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Pediatric nasal tip abscesses.

Tal Marom1, Ofer Gluck2, Oded Kraus2

  • 1Department of Otolaryngology-Head and Neck Surgery, Samson Assuta Ashdod University Hospital, Faculty of Health Sciences, Ben Gurion University, 7, Ha'Refua Street, 7747629, Ashdod, Israel. talmarom73@gmail.com.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|December 20, 2019
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Summary
This summary is machine-generated.

Nasal tip abscesses in children are rare but can be severe. Staphylococcus aureus, often resistant to common antibiotics, requires specific treatment like trimethoprim-sulfamethoxazole (TMP/SMX) and surgical drainage.

Keywords:
AbscessClindamycinDrainageNasal tipStaphylococcus aureusvestibulitis

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Area of Science:

  • Pediatric infectious diseases
  • Otolaryngology
  • Microbiology

Background:

  • Nasal tip abscesses are infrequent in pediatric populations.
  • These infections can necessitate aggressive management, including intravenous antibiotics and surgical intervention.
  • Standard oral antibiotic prophylaxis may not be sufficient for advanced cases.

Purpose of the Study:

  • To describe the clinical presentation and management of advanced nasal tip abscesses in children and teenagers.
  • To identify causative pathogens and their antibiotic susceptibility patterns.
  • To highlight the limitations of initial antibiotic therapies in these specific infections.

Main Methods:

  • Retrospective case series of 7 pediatric patients with nasal tip abscesses.
  • Review of clinical data, including antibiotic history, treatment protocols, and outcomes.
  • Microbiological cultures and antibiotic susceptibility testing (AST) of abscess aspirates.

Main Results:

  • All 7 patients required intravenous antibiotics and surgical drainage for their advanced nasal tip abscesses.
  • Staphylococcus aureus was the predominant pathogen identified in cultures.
  • Isolates demonstrated resistance to clindamycin but remained sensitive to trimethoprim-sulfamethoxazole (TMP/SMX).

Conclusions:

  • Advanced nasal tip abscesses in children are uncommon but serious infections.
  • Initial oral antibiotic therapy with amoxicillin/clavulanic acid or cephalosporins was inadequate in these cases.
  • Staphylococcus aureus infections resistant to clindamycin but sensitive to TMP/SMX necessitate tailored antibiotic selection and surgical management.