Walker J S, Corcoran K J
Department of Surgery, University of Oklahoma Health Science Center, Oklahoma City 73126.
Am J Emerg Med. 1990 Nov;8(6):542-5. doi: 10.1016/0735-6757(90)90160-2.
Buccal cellulitis (BC) is an innocuous appearing infection of the cheek that is found in children and has a high incidence of concomitant bacteremia. Typically, the child is younger than 12 months and has a 2 to 8 hour prodrome of coryza and fever before developing the cellulitis on the cheek. A purplish hue on the cellulitic region is highly suggestive of Hemophilus influenzae bacteremia. The differential diagnosis is reviewed. A complete blood count, blood culture, and cellulitis aspirate culture, should be obtained on all patients with BC. Meningitis may be present despite the lack of meningeal signs. A lumbar puncture should be performed on all children at risk for bacteremic BC. The vast majority of these children are bacteremic and require parenteral antibiotics. A typical case of BC is presented and its management is reviewed.
颊部蜂窝织炎（BC）是一种看似无害的儿童脸颊感染，同时伴有菌血症的发生率很高。通常，患儿年龄小于12个月，在脸颊出现蜂窝织炎之前有2至8小时的鼻炎和发热前驱症状。蜂窝织炎区域的紫色高度提示流感嗜血杆菌菌血症。对鉴别诊断进行了综述。所有BC患者均应进行全血细胞计数、血培养和蜂窝织炎抽吸物培养。尽管缺乏脑膜刺激征，也可能存在脑膜炎。所有有菌血症性BC风险的儿童均应进行腰椎穿刺。这些儿童中的绝大多数都有菌血症，需要胃肠外使用抗生素。本文介绍了一例典型的BC病例并对其治疗进行了综述。
