[Suppurative cervical lymphadenitis in children. Review of 45 patients].
OBJECTIVE
To review the bacteriological features and treatment of suppurative cervical lymphadenitis in children in order to achieve optimal treatment.


METHODS
Forty-five children were hospitalized. Time of hospitalization was evenly distributed over Year and between Years. Age ranged from 2.5 Months to 13.5 Years (median 1 Year 10 Months). Twenty-nine patients had received prior antibiotic treatment. Bacteriological samples were sterile in 15 out of 45 children and were positive for Staphylococcus (all meti-S) in 20. Cefotoxim and fosfomycin were prescribed and was sufficient in 14 children (with needle aspiration). Surgical drainage was performed in the other cases.


CONCLUSIONS
Staphylococcus aureus is the predominant causal agent for acute suppurative lymphadenitis in children. Antibiotic therapy in the outpatient setting does not always prevent abscess formation and surgical drainage may be required.
François
M
M
Service ORL, Hôpital Robert Debré, 48, bd Sérurier, 75935 Paris Cedex 19. martine.francois@rdb.ap-hop-paris.fr
Mariani-Kurkdjian
P
P
Elbakkouri
W
W
Bingen
E
E
D000208:Acute Disease; D000293:Adolescent; D000367:Age Factors; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002439:Cefotaxime / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D004322:Drainage; D005260:Female; D005578:Fosfomycin / Q000627:therapeutic use; D006760:Hospitalization; D006801:Humans; D007223:Infant; D008199:Lymphadenitis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology / Q000601:surgery; D008297:Male; D009333:Neck; D012737:Sex Factors; D013203:Staphylococcal Infections / Q000150:complications; D013492:Suppuration; D014463:Ultrasonography
D000900:Anti-Bacterial Agents; D005578:Fosfomycin; D002439:Cefotaxime