Gingival Lesions in Infants With Pneumococcal Bacteremia FREE

ANDREW M. YEAGER, MD

Am J Dis Child. 1979;133(1):97. doi:10.1001/archpedi.1979.02130010103023.

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ABSTRACT

ABSTRACT | REFERENCES

The clinical diagnosis of pneumococcal bacteremia is a challenge for physicians in ambulatory care settings. Many cases are "occult" and lack characteristic or pathognomonic signs.^1,2 A previous report³ has suggested that oral lesions may be associated with Streptococcus pneumoniae bacteremia. This communication reports a case in which a similar gingival lesion was observed in an infant with pneumococcal bacteremia.

Report of a Case.—A previously healthy 7-month-old male infant had fever, irritability, and a swollen right cheek develop during the eight hours prior to admission. On the morning of admission, his mother noted swelling of the right maxillary gingiva. On admission, the rectal temperature was 40.3 °C. There was a cystic, pinkish, nontender, 2 × 1-cm mass on the posterior right maxillary gingiva. No gingival defect was seen. Both mandibular central incisors were erupted, but there were no other erupting teeth. The right cheek was erythematous, indurated, and

REFERENCES

ABSTRACT | REFERENCES

Torphy DE, Ray CG: Occult pneumococcal bacteremia . Am J Dis Child 119:336-338, 1970;.

Heldrich FJ: Diplococcus pneumoniae bacteremia . Am J Dis Child 119:12-17, 1970;.

Burech DL, Koranyi K, Haynes RE, et al: Pneumococcal bacteremia associated with gingival lesions in infants . Am J Dis Child 129:1283-1284, 1975;.

Burke JP, Klein JO, Gezon HM, et al: Pneumococcal bacteremia . Am J Dis Child 121:353-359, 1971;.

Teele DW, Pelton SI, Grant MJA, et al: Bacteremia in febrile children under 2 years of age: Results of cultures of blood of 600 consecutive febrile children seen in a "walk-in" clinic . J Pediatr 87:227-230, 1975;.

McGowan JE, Bratton L, Klein JO, et al: Bacteremia in febrile children seen in a "walk-in" pediatric clinic . N Engl J Med 288:1309-1312, 1973;.

McCarthy PL, Grundy GW, Spiesel SZ, et al: Bacteremia in children: An outpatient clinical review . Pediatrics 57:861-868, 1976;.

Myers MG, Wright PF, Smith AL, et al: Complications of occult pneumococcal bacteremia in children . J Pediatr 84:656-660, 1974;.

Bratton L, Teele DW, Klein JO: Outcome of unsuspected pneumococcemia in children not initially admitted to the hospital . J Pediatr 90:703-706, 1977;.

Elliott RH, Dunbar JM: Streptococcal bacteremia in children following dental extractions . Arch Dis Child 43:451-454, 1968;.

Berry FA, Yarbrough S, Yarbrough N, et al: Transient bacteremia during dental manipulation in children . Pediatrics 51:476-479, 1973;.

Speck WT, Spear SS, Krongrad E, et al: Transient bacteremia in pediatric patients after dental extraction . Am J Dis Child 130:406-407, 1976;.

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