[Cervicofacial ulcerations caused by dental infection in children].
In children, chronic cervicofacial ulceration related to dental infection is rare. Thus the diagnosis is often late and the treatment is consequently delayed. We report 2 new cases.


METHODS
A 13-year-old boy presented with a 1-year history of chronic and suppurative ulceration on the right cheek. Culture was positive for actinomycetes. In spite of a prolonged and miscellaneous antibiotherapy, the lesion recured. The ulceration healed after the eradication of infection on a right superior molar. A 12-year-old girl presented with a right sub-mandibular ulceration, which appeared 3 months before. This lesion did not respond to penicillinotherapy given during 3 months. An infection on a right inferior molar was diagnosed on a tomodensitometry. 3 months after the tooth extraction, the ulceration healed without recurrence.


CONCLUSIONS
These cases emphasize the interest to look for a dental infection at the origin of chronic cervicofacial lesion.
Loppin
M
M
Service de dermatologie CHU Pontchaillou, rue H-Le-Guilloux, 35033 Rennes, France.
Adamski
H
H
Larrègue
M
M
Cadre
B
B
Godey
B
B
Chevrant-Breton
J
J
D039903:Actinobacteria / Q000302:isolation & purification*; D000293:Adolescent; D002610:Cheek; D002648:Child; D005260:Female; D005491:Focal Infection, Dental / Q000150:complications* / Q000175:diagnosis; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008336:Mandibular Diseases / Q000382:microbiology*; D012008:Recurrence; D012883:Skin Ulcer / Q000382:microbiology*