Eikenella corrodens: An Emerging Pathogen in Head and Neck Infections

Tami, Thomas A.; Parker, Gregg S.

doi:10.1001/archotol.1984.00800370054013

Cited by 29 publications

(17 citation statements)

References 28 publications

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“…The most common anaerobe cultured was E corrodens, and the importance of this organism in head and neck infections has recently been noted by Tami and Parker. 19 Because E corrodens is universally resistant to clindamycin, clinicians must be wary of empirically treating presumed anaerobic infections with this antibiotic. Additional organisms cultured in this study included nor- …”

Section: Commentmentioning

confidence: 99%

Age-, Site-, and Time-Specific Differences in Pediatric Deep Neck Abscesses

Coticchia¹,

Getnick²,

Yun³

et al. 2004

Arch Otolaryngol Head Neck Surg

140

101

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To clarify presentations, organisms, and locations of deep neck abscesses in children.Design: Retrospective review.Setting: Tertiary children's hospital. The study population comprised 169 patients younger than 19 years who were surgically treated for deep neck abscesses between 1989 and 1999.Main Outcome Measure: Resolution of abscess.Results: Neck mass (91%), fever (86%), cervical adenopathy (83%), poor oral intake (66%), and neck stiffness (59%) were common in all ages. Patients younger than 4 years, compared with patients 4 years or older, presented with agitation (50% vs 14%), cough (35% vs 14%), drooling (27% vs 12%), lethargy (46% vs 33%), oropharyngeal abnormalities (45% vs 60%), respiratory distress (5% vs 2%), retractions (5% vs 2%), rhinorrhea (53% vs 15%), stridor (4% vs 2%), and trismus (14% vs 53%). Children younger than 1 year were infected with Staphylococcus aureus (79%) vs group A streptococcus (6%). Children 1 year or older were infected with group A streptococcus (29%) vs S aureus (16%). Retropharyngeal or parapharyngeal regions were involved in children 1 year or older (49%) vs younger than 1 year (21%). Anterior or posterior triangles and submandibular or submental regions were involved in 39% and 36%, respectively, of children younger than 1 year vs 30% and 23%, respectively, of children 1 year or older. Retropharyngeal and parapharyngeal abscesses yielded group A streptococcus (34%) vs S aureus (11%). Anterior and posterior triangle abscesses yielded S aureus (35%) vs group A streptococcus (19%), as did submandibular and submental abscesses (42% vs 19%).Conclusions: Abscesses in children younger than 1 year affected anterior or posterior triangles and submandibular or submental regions, yielding S aureus. Abscesses in children 1 year or older affected retropharyngeal or parapharyngeal regions, yielding group A streptococcus.

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Section: Commentmentioning

confidence: 99%

Age-, Site-, and Time-Specific Differences in Pediatric Deep Neck Abscesses

Coticchia¹,

Getnick²,

Yun³

et al. 2004

Arch Otolaryngol Head Neck Surg

140

101

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“…It has been reported that E. corrodens is susceptible to antibiotics such as benzylpenicillin, ampicillin, third-generation cephems, and chloramphenicol; relatively resistant to aminoglycosides and erythromycin; and resistant to clindamycin, metronidazole, and penicillinase-resistant penicillin. 3,9,31 According to our results of antimicrobial susceptibility tests shown in Table 4, the first-choice drugs for E. corrodens infection should be third-generation cephems, carbapenems, or new quinolones. It is intriguing that, as shown in Table 4, E. corrodens was resistant to clindamycin, which is usually effective against anaerobic bacteria and is often used for the treatment of severe head and neck infections.…”

Section: Discussionmentioning

confidence: 99%

“…1 This bacterium absolutely requires 5e10% of carbon dioxide at the beginning of primary culture, and hemin must be supplemented for it to grow under aerobic conditions. 3 Moreover, it takes several days for E. corrodens to form macroscopic colonies, which are generally small in size and are often hidden by colonies of other organisms. 3 E. corrodens is, therefore, usually overlooked during routine bacteriological examinations, and special laboratory precautions and techniques are necessary to isolate this bacterium.…”

Section: Introductionmentioning

confidence: 99%

Eikenella corrodens in head and neck infections

Udaka

Hiraki

Shiomori

et al. 2007

Journal of Infection

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“…This organism is typically susceptible to many antibiotics, including penicillin G, ceftriaxone, ampicillin, amoxicillin-clavulanic acid, trimethoprim-sulfamethoxazole, and fluoroquinolones [11]. However, it is usually resistant to clindamycin, cephalexin, erythromycin, and metronidazole.…”

Section: Eikenella Infections Have Been Described Primarily In Adultsmentioning

confidence: 99%

“…Although believed to be nonpathogenic in the past, Eikenella species have been shown to cause serious human infection [2]. In adults, Eikenella species have been shown to cause head and neck infection, sinusitis, pulmonary infection, arthritis, endocarditis, intraabdominal infection, pancreatic abscesses, skull infection, vertebral osteomyelitis, and infection after human bite wounds [2][3][4][5][6][7][8][9][10][11][12]. Pediatric infections caused by Eikenella species are much less common and have only rarely been reported.…”

mentioning

confidence: 99%

Eikenella corrodensInfections in Children and Adolescents: Case Reports and Review of the Literature

Paul

Patel

2001

CLIN INFECT DIS

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Eikenella corrodens is a slow-growing, gram-negative, nonmotile, facultative rod that can cause infection in humans. Although the clinical characteristics of Eikenella infections in adults are well described, the literature regarding Eikenella infections in children is lacking. Thirteen cases of Eikenella infection in children and adolescents reported from a hospital and an additional 41 cases from the literature were reviewed. Eikenella species can be serious pediatric pathogens, particularly when there is an exposure to human oral secretions. Empirical therapy used to manage most oropharyngeal flora may be ineffective against Eikenella species. The treatment of choice for children and adolescents who are infected with Eikenella species includes a combination of surgical management and antibiotics.

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Eikenella corrodens: An Emerging Pathogen in Head and Neck Infections

Cited by 29 publications

References 28 publications

Age-, Site-, and Time-Specific Differences in Pediatric Deep Neck Abscesses

Age-, Site-, and Time-Specific Differences in Pediatric Deep Neck Abscesses

Eikenella corrodens in head and neck infections

Eikenella corrodensInfections in Children and Adolescents: Case Reports and Review of the Literature

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