小児頸部膿瘍の臨床的検討  [in Japanese] Clinical Assessment of 15 Cases of Pediatric Neck Abscess  [in Japanese]

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Author(s)

Abstract

Pediatric neck-abscess incidence has decreased thanks to early treatment using antibiotics, but diagnosis remains difficult due to varied clinical symptoms and a lack of subjective complaints. It must be diagnosed and treated early, due to being potentially life-threatening.<br> We studied 15 such cases—12 boys and 3 girls, 0 to 11 years old (mean; 3.5)—treated from January 2005 to January 2010. Their chief complaints were 5 high fevers, 4 neck swellings, and 6 neck and throat pain. Neck computed tomography (CT) with contrast medium was useful in diagnosis. Neck abscesses were found in 4 patients in the retropharyngeal space and parapharyngeal space, 2 patients in the submandibular space, retrocervical space, thyroid glands, and peritonsillar space, plus 3 miscellaneous. Antibiotics were used to treat all cases. Eleven required surgery and one puncture. Bacteria detected in 10 cases were 4 of <i>Streptococcus pyogenes</i> (<i>Group A</i>), 3 of <i>Staphylococcus aureus</i>, and 1 each of <i>Group F Streptococcus</i>, <i>Peptostreptococcus sp</i>. and <i>Actinomyces</i>. Hospitalization ranged from 7 to 44 days (mean; 17.2).<br> All cases recovered satisfactorily.<br>

Journal

  • Practica Oto-Rhino-Laryngologica

    Practica Oto-Rhino-Laryngologica 104(5), 379-386, 2011-05-01

    The Society of Practical Otolaryngology

References:  14

Codes

  • NII Article ID (NAID)
    10027972710
  • NII NACSIS-CAT ID (NCID)
    AN00107089
  • Text Lang
    JPN
  • Article Type
    NOT
  • ISSN
    00326313
  • NDL Article ID
    11102633
  • NDL Source Classification
    ZS43(科学技術--医学--耳鼻咽喉科学)
  • NDL Call No.
    Z19-421
  • Data Source
    CJP  NDL  J-STAGE 
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