Ginsburg C M
J Am Acad Dermatol. 1981 Jun;4(6):661-4. doi: 10.1016/s0190-9622(81)70066-5.
During a 10-year period there were seventy-two cases of buccal cellulitis caused by Hemophilus influenzae type b (HIb). Patients ranged in age from 3 months to 3 years; 72% were less than 2 year of age. Most children had a poorly demarcated, violaceous discoloration of one cheek. Sixty-eight percent of patients had an associated otitis media, and HIb was isolated from middle ear aspirates of twenty-two of twenty-three children. Bacteremia was present in 86% of patients, and five (7.6%) had associated meningitis. Ampicillin, chloramphenicol, cephamandole, or a combination of ampicillin and chloramphenicol, all proved effective for therapy of this condition. The duration of fever was more prolonged after cephamandole or ampicillin than after a combination of ampicillin and chloramphenicol or chloramphenicol alone. Recommendations for diagnosis and treatment are made.
在10年期间，有72例由b型流感嗜血杆菌（HIb）引起的颊部蜂窝织炎病例。患者年龄从3个月至3岁不等；72%的患者年龄小于2岁。大多数儿童一侧脸颊有界限不清的紫蓝色变色。68%的患者伴有中耳炎，在23名儿童中的22名儿童的中耳抽出物中分离出HIb。86%的患者存在菌血症，5名（7.6%）患者伴有脑膜炎。氨苄西林、氯霉素、头孢孟多，或氨苄西林与氯霉素联合使用，均被证明对这种疾病的治疗有效。使用头孢孟多或氨苄西林后发热持续时间比使用氨苄西林与氯霉素联合使用或单独使用氯霉素后更长。文中给出了诊断和治疗的建议。
