Swelling in the submandibular and bilateral laterocervical region in an infant.

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Borja Merelo Nicolás
Lara Cabrera Jiménez
Ana Isabel Menasalvas Ruiz
Santiago Alfayate Miguélez

Abstract

Background: Deep neck infections are a frequent cause of infection in pediatrics, with potentially serious complications such as airway compromise, mediastinitis or sepsis, if there is a delay in diagnosis or treatment. The most frequent causative agents are Staphylococcus aureus and Streptococcus spp. The treatment consists of specific antibiotics and multidisciplinary management of possible complications. Clinical case: We present the case of a 10-month-old infant with fever and a labial ulcer, associating an important swelling in the laterocervical and bilateral submandibular region; with initial doubts about the airway compromise. Empirical intravenous treatment was started without requiring surgical treatment. The complementary tests showed PCR Influenza type B positive, as the origin of the febrile episode and in the labial sample grew a Staphylococcus aureus, which causes inflammation. He received directed antibiotic treatment and presented a good evolution without complications. Conclusion: Deep neck infections are a diagnostic challenge for pediatricians. Early diagnosis and proper management can prevent potentially serious complications.

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How to Cite
Nicolás, B. M., Cabrera Jiménez, L., Menasalvas Ruiz, A. I., & Alfayate Miguélez, S. (2020). Swelling in the submandibular and bilateral laterocervical region in an infant. Pediatría, 53(2), 72–75. https://doi.org/10.14295/rp.v53i2.135
Section
Case report

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