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Article in Japanese

A pediatric case of multiple deep neck abscess caused by Streptococcus pyogenes

Tetsuo SHODA, Atsushi ISOZAKI

A 4 years old boy visited our emergency department because of sudden onset of fever with right swollen, reddish neck. He was admitted to our hospital suspected of bacterial cervical lymphadenitis. Despite intravenous antibiotic therapy, his right neck got rapidly swollen. The contrast CT examination revealed multiple abscesses in several areas, and then we diagnosed him as deep neck abscess. After the abscess was urgently removed by surgical procedures, his symptoms were improved gradually. Streptococcus pyogenes was isolated from both the pharynx and the drained fluid culture. Multiple deep neck abscesses in children are relatively rare. It is important for physician to make an early diagnosis of deep neck abscess by image study and to judge the indication of surgical treatment.

Department of Pediatrics, Yokohama City Minato Red Cross Hospital

Key words
Received October 16, 2008
Accepted January 7, 2009

21 (1):3─6,2009