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Korean J Pediatr 2011 August;54(8) :350-353.
doi:https://doi.org/10.3345/kjp.2011.54.8.350
Masticator space abscess in a 47-day-old infant
Eunhee Kim (Kim Eh)1, Ju Hee Jeon (Jeon JH)2, Yoon Hee Shim (Shim YH)2, Kyu-Seok Lee (Lee KS)3, So Young Kim (Kim SY)4, Eun Ryoung Kim (Kim ER)2
1Department of Pediatrics, Gwang-Myeong Sung-Ae General Hospital, Gwangmyeong, Korea
2Departments of Pediatrics, Sung-Ae General Hospital, Seoul, Korea
3Departments of Otorhinolaryngology, Sung-Ae General Hospital, Seoul, Korea
4Departments of Radiology, Sung-Ae General Hospital, Seoul, Korea
Corresponding Author: Eun Ryoung Kim ,Tel: +82-2-840-7230, Fax: +82-2-840-775, Email: eunicu@hotmail.com
Copyright © 2011 by The Korean Pediatric Society
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 2.01.5 cm 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.
Keywords: Abscess | Infant | Bacteremia
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