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Clinical and Microbiological Characteristics of Deep Neck Abscesses in Pediatrics: Analysis of a Case Series from a 3rd Level Pediatric Hospital

As there is currently no consensus on managing deep neck infections in pediatric populations, we report a case series from a large pediatric hospital. Clinical data of patients discharged from Istituto Gaslini-Children’s Hospital from January 2014 to June 2020 with peritonsillar, parapharyngeal, or...

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Autores principales: Mariani, Marcello, Saffioti, Carolina, Mesini, Alessio, Palmero, Candida, D’Agostino, Roberto, Garofolo, Sabrina, Rossi, Andrea, Damasio, Maria Beatrice, Castagnola, Elio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10528812/
https://www.ncbi.nlm.nih.gov/pubmed/37761467
http://dx.doi.org/10.3390/children10091506
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author Mariani, Marcello
Saffioti, Carolina
Mesini, Alessio
Palmero, Candida
D’Agostino, Roberto
Garofolo, Sabrina
Rossi, Andrea
Damasio, Maria Beatrice
Castagnola, Elio
author_facet Mariani, Marcello
Saffioti, Carolina
Mesini, Alessio
Palmero, Candida
D’Agostino, Roberto
Garofolo, Sabrina
Rossi, Andrea
Damasio, Maria Beatrice
Castagnola, Elio
author_sort Mariani, Marcello
collection PubMed
description As there is currently no consensus on managing deep neck infections in pediatric populations, we report a case series from a large pediatric hospital. Clinical data of patients discharged from Istituto Gaslini-Children’s Hospital from January 2014 to June 2020 with peritonsillar, parapharyngeal, or retropharyngeal abscess diagnoses were collected. A total of 59 patients were identified. Patients underwent surgical drainage in 47% of cases. Streptococcus mitis/oralis was the most isolated pathogen. Surgically treated patients did have larger abscesses compared to others, but there were no differences in the duration of hospitalization. Children who received NSAIDs at home had significant delays in diagnosis (median 4 vs. 1.5 days, p = 0.008). In our experience, clinical presentation of DNIs is often evocative, but evaluation should include imaging with CT/MRI. Surgery is effective in larger abscesses, allowing for etiological diagnosis with consequent antibiotic adjusting. From an anamnestic point of view, home medications such as NSAIDs could delay diagnosis.
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spelling pubmed-105288122023-09-28 Clinical and Microbiological Characteristics of Deep Neck Abscesses in Pediatrics: Analysis of a Case Series from a 3rd Level Pediatric Hospital Mariani, Marcello Saffioti, Carolina Mesini, Alessio Palmero, Candida D’Agostino, Roberto Garofolo, Sabrina Rossi, Andrea Damasio, Maria Beatrice Castagnola, Elio Children (Basel) Communication As there is currently no consensus on managing deep neck infections in pediatric populations, we report a case series from a large pediatric hospital. Clinical data of patients discharged from Istituto Gaslini-Children’s Hospital from January 2014 to June 2020 with peritonsillar, parapharyngeal, or retropharyngeal abscess diagnoses were collected. A total of 59 patients were identified. Patients underwent surgical drainage in 47% of cases. Streptococcus mitis/oralis was the most isolated pathogen. Surgically treated patients did have larger abscesses compared to others, but there were no differences in the duration of hospitalization. Children who received NSAIDs at home had significant delays in diagnosis (median 4 vs. 1.5 days, p = 0.008). In our experience, clinical presentation of DNIs is often evocative, but evaluation should include imaging with CT/MRI. Surgery is effective in larger abscesses, allowing for etiological diagnosis with consequent antibiotic adjusting. From an anamnestic point of view, home medications such as NSAIDs could delay diagnosis. MDPI 2023-09-04 /pmc/articles/PMC10528812/ /pubmed/37761467 http://dx.doi.org/10.3390/children10091506 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Communication
Mariani, Marcello
Saffioti, Carolina
Mesini, Alessio
Palmero, Candida
D’Agostino, Roberto
Garofolo, Sabrina
Rossi, Andrea
Damasio, Maria Beatrice
Castagnola, Elio
Clinical and Microbiological Characteristics of Deep Neck Abscesses in Pediatrics: Analysis of a Case Series from a 3rd Level Pediatric Hospital
title Clinical and Microbiological Characteristics of Deep Neck Abscesses in Pediatrics: Analysis of a Case Series from a 3rd Level Pediatric Hospital
title_full Clinical and Microbiological Characteristics of Deep Neck Abscesses in Pediatrics: Analysis of a Case Series from a 3rd Level Pediatric Hospital
title_fullStr Clinical and Microbiological Characteristics of Deep Neck Abscesses in Pediatrics: Analysis of a Case Series from a 3rd Level Pediatric Hospital
title_full_unstemmed Clinical and Microbiological Characteristics of Deep Neck Abscesses in Pediatrics: Analysis of a Case Series from a 3rd Level Pediatric Hospital
title_short Clinical and Microbiological Characteristics of Deep Neck Abscesses in Pediatrics: Analysis of a Case Series from a 3rd Level Pediatric Hospital
title_sort clinical and microbiological characteristics of deep neck abscesses in pediatrics: analysis of a case series from a 3rd level pediatric hospital
topic Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10528812/
https://www.ncbi.nlm.nih.gov/pubmed/37761467
http://dx.doi.org/10.3390/children10091506
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