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Facial cellulitis in childhood: a changing spectrum.

Publication ,  Journal Article
Fisher, RG; Benjamin, DK
Published in: South Med J
July 2002

BACKGROUND: Before conjugated Haemophilus influenzae type b (Hib) vaccination, a syndrome known as buccal cellulitis, usually caused by Hib and often accompanied by bacteremia, was seen. We investigated the incidence and cause of facial cellulitis at our hospital during the 10 years before and the 10 years after introduction of the vaccine. METHODS: Records of patients discharged with a diagnosis of facial cellulitis or infections of the oral cavity were reviewed. Fisher's exact test was used to compare rates of cellulitis during the two decades. RESULTS: Trauma was the most common antecedent to facial cellulitis in both eras. Buccal cellulitis accounted for 7/25 (28%) of cases before Hib vaccination and 0/19 cases since. Pneumococcal buccal cellulitis was not seen in either decade. CONCLUSIONS: Buccal cellulitis due to Hib is a disappearing disease. Eighty-nine percent of recent inpatient cases of childhood facial cellulitis were related to trauma, tooth problems, or severe sinusitis. Facial cellulitis due to S pneumoniae is rare.

Duke Scholars

Published In

South Med J

ISSN

0038-4348

Publication Date

July 2002

Volume

95

Issue

7

Start / End Page

672 / 674

Location

United States

Related Subject Headings

  • United States
  • Polysaccharides, Bacterial
  • Infant
  • Incidence
  • Humans
  • Haemophilus influenzae type b
  • Haemophilus Vaccines
  • Haemophilus Infections
  • General & Internal Medicine
  • Facial Dermatoses
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Fisher, R. G., & Benjamin, D. K. (2002). Facial cellulitis in childhood: a changing spectrum. South Med J, 95(7), 672–674.
Fisher, Randall G., and Daniel K. Benjamin. “Facial cellulitis in childhood: a changing spectrum.South Med J 95, no. 7 (July 2002): 672–74.
Fisher RG, Benjamin DK. Facial cellulitis in childhood: a changing spectrum. South Med J. 2002 Jul;95(7):672–4.
Fisher, Randall G., and Daniel K. Benjamin. “Facial cellulitis in childhood: a changing spectrum.South Med J, vol. 95, no. 7, July 2002, pp. 672–74.
Fisher RG, Benjamin DK. Facial cellulitis in childhood: a changing spectrum. South Med J. 2002 Jul;95(7):672–674.

Published In

South Med J

ISSN

0038-4348

Publication Date

July 2002

Volume

95

Issue

7

Start / End Page

672 / 674

Location

United States

Related Subject Headings

  • United States
  • Polysaccharides, Bacterial
  • Infant
  • Incidence
  • Humans
  • Haemophilus influenzae type b
  • Haemophilus Vaccines
  • Haemophilus Infections
  • General & Internal Medicine
  • Facial Dermatoses