면역 기능이 정상인 소아에서 발생한 b형 Haemop hilus inf luenzae에 의한 협부 봉와직염(Buccal Cellulit is ) 1례

Abstract

Buccal cellulitis which presents with high fever and a swelling of the cheek with violaceous hue in young children is most often caused by H. inf luenzae. Bacteremia is common in buccal cellulitis caused by H. inf luenzae, and a culture of cerebrospinal fluid should be obtained because meningitis may be present despite the lack of meningeal irritation signs. Although buccal cellulitis is considered to be one of the important manifestations of H. inf luenzae infection, only two cases have been reported in Korea yet. We experienced a case of buccal cellulitis with H. inf luenzae bacteremia in an immunocompetent girl of 18-monthold. She was presented with high fever followed by rapidly progressive swelling and tenderness of both cheeks with violaceous hue in four hours. The blood culture revealed H. inf luenzae type b. There was no concurrent otitis media, sinusitis, or meningitis and no portal of entry was identified. Fever subsided two days after starting intravenous cefotaxime. Intravenous cefotaxime was subsequently changed to oral cefixime, and antibiotics were administered for a total of two weeks. We report this case with a review of related literature.