Buccal cellulitis.

J S Walker; K J Corcoran

doi:10.1016/0735-6757(90)90160-2

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PubMed · 2222602

Buccal cellulitis.

J S Walker·K J Corcoran

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Abstract

Buccal cellulitis (BC) is an innocuous appearing infection of the cheek that is found in children and has a high incidence of concomitant bacteremia. Typically, the child is younger than 12 months and has a 2 to 8 hour prodrome of coryza and fever before developing the cellulitis on the cheek. A purplish hue on the cellulitic region is highly suggestive of Hemophilus influenzae bacteremia. The differential diagnosis is reviewed. A complete blood count, blood culture, and cellulitis aspirate culture, should be obtained on all patients with BC. Meningitis may be present despite the lack of meningeal signs. A lumbar puncture should be performed on all children at risk for bacteremic BC. The vast majority of these children are bacteremic and require parenteral antibiotics. A typical case of BC is presented and its management is reviewed.

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Amoxicillin Cefuroxime Cellulitis Cheek Clavulanic Acid Clavulanic Acids Diagnosis, Differential Drug Therapy, Combination Female Haemophilus Infections Haemophilus influenzae Humans Infant beta-Lactamase Inhibitors Case Reports Journal Article

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J S Walker, K J Corcoran. 1990. Buccal cellulitis.. https://doi.org/10.1016/0735-6757(90)90160-2

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