■由放线菌物种引起的感染是儿童头颈部感染的罕见原因。这种慢性颈面部感染可表现为局部肿胀,脓肿形成,鼻窦引流,可并发骨髓炎。
■介绍了2例小儿先天性病变继发放线菌病的病例:1例先前切除的耳前窦,另一例持续舌下肿块。对颈面部儿童放线菌病的报告病例进行了全面的文献检索。
■两例病例均通过完整手术切除病灶和延长抗生素治疗的组合治疗成功。回顾了34例小儿颈面部放线菌病,本文介绍的2,和32来自已出版的文献。性别分布相等,中位年龄为7.5岁。最常见的感染部位是颌下区。其中4例(12%)出现在先前存在的先天性病变中。大多数患者在手术切除或清创术后接受青霉素类抗生素治疗,中位持续时间为6个月。
■放线菌病是一种罕见的颈面部感染;由头颈部先天性病变引起的继发感染更为罕见。先前切除的耳前窦和舌下皮样囊肿是先前未报告的感染部位。在头颈部慢性引流鼻窦中应怀疑放线菌病,并通过厌氧培养证实。骨髓炎是一种潜在的并发症,磁共振(MR)成像是必要的。应考虑以青霉素为基础的抗生素和手术切除的长期抗生素治疗。
UNASSIGNED: Infection caused by Actinomyces species is a rare cause of head and neck infection in children. This chronic cervicofacial infection can present with localized swelling, abscess formation, sinus drainage and can be complicated by osteomyelitis.
UNASSIGNED: Presented are 2 pediatric cases of secondary actinomycosis in the context of congenital lesions: 1 patient with a previously excised preauricular sinus and another with a persistent sublingual mass. A comprehensive literature search was conducted for reported cases of pediatric actinomycosis in the cervicofacial region.
UNASSIGNED: Both cases presented were successfully treated with a combination of complete surgical excision of the lesions and prolonged antibiotic therapy. Thirty-four pediatric cases of cervicofacial actinomycosis are reviewed, 2 presented herein, and 32 from the published literature. There was equal gender distribution and the median age was 7.5 years. The most common site for infection was the submandibular area. Four (12%) of cases arose in pre-existing congenital lesions. Most patients were treated with penicillin-based antibiotics for a median duration of 6 months following surgical excision or debridement.
UNASSIGNED: Actinomycosis is a rare infection of the cervicofacial region; secondary infections arising from congenital lesions of the head and neck are even more rare. A previously excised pre-auricular sinus and a sublingual dermoid cyst are not previously reported sites of infection. Actinomycosis should be suspected in chronically draining sinuses of the head and neck region and confirmed through anaerobic culture. Osteomyelitis is a potential complication and magnetic resonance (MR) imaging is warranted. Long-term antibiotic therapy with a penicillin-based antibiotic and surgical excision should be considered.