“…Meningitis can occur in the absence of significant clinical signs 35. Baker and Bausher36 studied acute bacteraemic facial cellulitis in 80 patients, and seven patients were found to have culture-proven meningitis. The authors concluded that meningitis may occur in association with acute bacteraemic facial cellulitis and may be unapparent clinically.…”
Sinusitis/URI, ADC and recent history of trauma/surgery were the most common cause of PSC in admitted patients. Although most patients responded to systemic antibiotics, surgical intervention was necessary in some patients to prevent associated complications.
“…Meningitis can occur in the absence of significant clinical signs 35. Baker and Bausher36 studied acute bacteraemic facial cellulitis in 80 patients, and seven patients were found to have culture-proven meningitis. The authors concluded that meningitis may occur in association with acute bacteraemic facial cellulitis and may be unapparent clinically.…”
Sinusitis/URI, ADC and recent history of trauma/surgery were the most common cause of PSC in admitted patients. Although most patients responded to systemic antibiotics, surgical intervention was necessary in some patients to prevent associated complications.
“…Complications associated with upper face infections include local periorbital cellulitis and cavernous sinus thrombosis, systemic meningitis and sepsis. [12][13][14] Lower face infections can spread to the facial space, leading to Ludwig's angina and secondary respiratory embarrassment. 5 Aggressive management of cellulitis through the use of antibiotics is essential for rapid resolution of the infection with minimal morbidity.…”
The differences in upper and lower face infections and differences in gender were not clinically significant. Surgical or dental interventions can be delayed through the proper use of antibiotics. With correct diagnosis, antibiotic treatment and appropriate timing for surgical or dental interventions, rapid resolution of the infection is expected.
“… Denominators indicate number of cases for which information was available. ‘Others’ refers to collated information from case reports and series ranging from three to 12 cases 4,11,19–21,26–36,38,41–47 …”
Section: Resultsmentioning
confidence: 99%
“…The 19% of cases managed as outpatients were all from one case series 9 . Complications occurred in 1.2% of reported cases 11,21 , 33–36,38 , 41–47 …”
Cellulitis is an uncommon focus in IPD in children, and is almost always facial. Most cases occur under 2 years of age, are seldom associated with meningitis or other complications, and are frequently not recognised on admission.
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