Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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Masticator space abscess in a 47-day-old infant

  • Kim, Eun-Hee (Department of Pediatrics, Gwang-Myeong Sung-Ae General Hospital) ;
  • Jeon, Ju-Hee (Department of Pediatrics, Sung-Ae General Hospital) ;
  • Shim, Yoon-Hee (Department of Pediatrics, Sung-Ae General Hospital) ;
  • Lee, Kyu-Seok (Department of Otorhinolaryngology, Sung-Ae General Hospital) ;
  • Kim, So-Young (Department of Radiology, Sung-Ae General Hospital) ;
  • Kim, Eun-Ryoung (Department of Pediatrics, Sung-Ae General Hospital)
  • Received : 2010.12.13
  • Accepted : 2011.03.01
  • Published : 2011.08.15
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Abstract

A 47-day-old male infant presented with fever, poor oral intake, irritability, and right-sided bluish buccal swelling. Contrast-enhanced computed tomography of the neck showed a round mass lesion of about $2.0{\times}1.5cm$ that suggested abscess formation in the right masticator space. Ultrasound-guided extraoral aspiration of the abscess at the right masseter muscle was successful. Staphylococcus aureus was identified in the culture from the aspirated pus and blood. Appropriate antibiotics were given and the patient recovered. The patient underwent follow-up ultrasonography that showed an improved state of the previously observed right masseter muscle swelling at about 1 month after hospital discharge. A masticator space abscess usually originates from an odontogenic infection in adults. We report a case of masticator space abscess in a 47-day-old infant in whom septicemia without odontogenic infection was suspected.

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References

  1. Steelman R, Milczuk H, Grosz A. Masticator space abscess in a 21-month old child. Int J Pediatr Otorhinolaryngol Extra 2006;1:185-7. https://doi.org/10.1016/j.pedex.2006.04.003
  2. Balatsouras DG, Kloutsos GM, Protopapas D, Korres S, Economou C. Submasseteric abscess. J Laryngol Otol 2001;115:68-70.
  3. Schuknecht B, Stergiou G, Graetz K. Masticator space abscess derived from odontogenic infection: imaging manifestation and pathways of extension depicted by CT and MR in 30 patients. Eur Radiol 2008; 18:1972-9. https://doi.org/10.1007/s00330-008-0946-5
  4. Khanna G, Sato Y, Smith RJ, Bauman NM, Nerad J. Causes of facial swelling in pediatric patients: correlation of clinical and radiologic findings. Radiographics 2006;26:157-71. https://doi.org/10.1148/rg.261055050
  5. Sivarajasingam V, Sharma V, Crean SJ, Shepherd JP. Ultrasound-guided needle aspiration of lateral masticator space abscess. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;88:616-9. https://doi.org/10.1016/S1079-2104(99)70095-8
  6. Johnson BA. Suprahyoid head and neck tumors. Proceedings of Advanced MRI 2002, from Head to toe-the cutting edge, Vermed, Fortbildung in der Medizin; 2002 May 2-4;37-40.
  7. Coticchia JM, Getnick GS, Yun RD, Arnold JE. Age-, site-, and timespecific differences in pediatric deep neck abscesses. Arch Otolaryngol Head Neck Surg 2004;130:201-7. https://doi.org/10.1001/archotol.130.2.201
  8. Daramola OO, Flanagan CE, Maisel RH, Odland RM. Diagnosis and treatment of deep neck space abscesses. Otolaryngol Head Neck Surg 2009;141:123-30. https://doi.org/10.1016/j.otohns.2009.03.033
  9. Brook I. Microbiology and management of peritonsillar, retropharyngeal, and parapharyngeal abscesses. J Oral Maxillofac Surg 2004;62:1545-50. https://doi.org/10.1016/j.joms.2003.12.043
  10. Nagy M, Pizzuto M, Backstrom J, Brodsky L. Deep neck infections in children: a new approach to diagnosis and treatment. Laryngoscope 1997;107(12 Pt 1):1627-34. https://doi.org/10.1097/00005537-199712000-00010
  11. Al-Belasy FA. Ultrasound-guided drainage of submasseteric space abscesses. J Oral Maxillofac Surg 2005;63:36-41.
  12. Nagy M, Backstrom J. Comparison of the sensitivity of lateral neck radiographs and computed tomography scanning in pediatric deep-neck infections. Laryngoscope 1999;109:775-9. https://doi.org/10.1097/00005537-199905000-00017
  13. Kaban LB, Troulis MJ. Pediatric oral and maxillofacial surgery. Philadelphia: WB Saunders, 2004:198.
  14. Yang SW, Lee MH, See LC, Huang SH, Chen TM, Chen TA. Deep neck abscess: an analysis of microbial etiology and the effectiveness of antibiotics. Infect Drug Resist 2008;1:1-8.

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