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Original Article
General Pediatrics
Efficacy of conservative treatment of perianal abscesses in children and predictors for therapeutic failure
Lars Boenicke, Johannes Doerner, Stefan Wirth, Hubert Zirngibl, Mike Ralf Langenbach
Clin Exp Pediatr. 2020;63(7):272-277.   Published online May 15, 2020
Background: The optimal management of perianal abscess in children is controversial.
Purpose: To evaluate the efficiency of conservative treatment of perianal abscess in children and identify parameters that predict therapy failure. Methods: All cases of children younger than 14 years of age with perianal abscesses between 2001–2016 were evaluated. Results: Of the 113 enrolled patients, 64 underwent subsequent surgery for advanced disease (primary...
Case Report
Immunology
Concomitant use of corticosteroid and antimicrobials for liver abscesses in patients with chronic granulomatous disease
Kyung-Sue Shin, Mu Suk Lee
Clin Exp Pediatr. 2016;59(4):196-201.   Published online April 30, 2016

Chronic granulomatous disease (CGD) is a rare inherited disorder caused by defective nicotinamide adenine dinucleotide phosphate oxidase enzyme and characterized by recurrent bacterial and fungal infections. Although liver abscess is a common manifestation of CGD, its management in CGD patients is not well-defined. In addition, the generalized guidelines for treating liver abscesses do not necessarily apply to CGD patients. Corticosteroids...

Original Article
Clinical characteristics of lung abscess in children: 15-year experience at two university hospitals
Mi Suk Choi, Ji Hye Chun, Kyung Suk Lee, Yeong Ho Rha, Sun Hee Choi
Clin Exp Pediatr. 2015;58(12):478-483.   Published online December 22, 2015
Purpose

Information on the clinical features of lung abscess, which is uncommon in children, at hospitalizationis helpful to anticipate the disease course and management. There is no report concerning lung abscess in Korean children. We aimed to identify the clinical characteristics of pediatric lung abscess and compare the difference between primary and secondary abscess groups.

Methods

The medical records of 11 lung abscess...

Case Report
Liver abscess due to Klebsiella pneumoniae in a healthy 12-year-old boy
Da Hye Yoon, Yeon Jin Jeon, E Young Bae, Dae Chul Jeong, Jin Han Kang
Clin Exp Pediatr. 2013;56(11):496-499.   Published online November 27, 2013

Pyogenic liver abscess (PLA) is rare in healthy children. We report a case of PLA in an immunocompetent 12-year-old boy. Percutaneous catheter drainage was performed for the abscess. In addition, parenteral antibiotics were administered for 3 weeks. Klebsiella pneumoniae was detected in the culture of blood and drained fluid. Here, we present this case and a brief review of the...

Klebsiella pneumoniae liver abscess in an immunocompetent child
Jang-Mi Kwon, Hye Lim Jung, Jae Won Shim, Deok Soo Kim, Jung Yeon Shim, Moon Soo Park
Clin Exp Pediatr. 2013;56(9):407-410.   Published online September 30, 2013

Klebsiella pneumoniae has emerged as a leading pathogen that causes pyogenic liver abscesses (PLAs) in Korea. K. pneumoniae liver abscess (KLA) is potentially life threatening, and the diagnosis is difficult. In developed countries, PLA is rarely observed in children and is frequently associated with disorders of granulocyte function and previous abdominal infection. We observed a case of KLA in a...

Retropharyngeal abscess coinfected with Staphylococcus aureus and Mycobacterium tuberculosis after rhinoviral infection in a 1-month-old infant
Jeong Hee Shin, Se In Sung, Jin Kyu Kim, Ji Mi Jung, Eun Sun Kim, Soo Han Choi, Yae Jean Kim, Kang Mo Ahn, Yun Sil Chang, Won Soon Park
Clin Exp Pediatr. 2013;56(2):86-89.   Published online February 25, 2013

A retropharyngeal abscess is a rare disease entity in young infants but can develop after nasopharyngeal viral infection. Group B Streptococcus and Staphylococcus aureus are the most common pathogens in young infants, however, Mycobacterium tuberculosis is very rare. We report the case of retropharyngeal abscess and coinfection with S. aureus and M. tuberculosis in a very young infant presenting with...

Masticator space abscess in a 47-day-old infant
Eunhee Kim, Ju Hee Jeon, Yoon Hee Shim, Kyu-Seok Lee, So Young Kim, Eun Ryoung Kim
Clin Exp Pediatr. 2011;54(8):350-353.   Published online August 31, 2011

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 2.0×1.5 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...

A case of Kawasaki disease with coexistence of a parapharyngeal abscess requiring incision and drainage
Se Hyun Choi, Hyun Jung Kim
Clin Exp Pediatr. 2010;53(9):855-858.   Published online September 13, 2010

Kawasaki disease (KD) causes multisystemic vasculitis but infrequently manifests with deep neck infections, such as a peritonsillar abscess, peritonsillar or deep neck cellulitis, suppurative parapharyngeal infection, or retropharyngeal abscess. As its etiology is still unknown, the diagnosis is usually made based on typical symptoms. The differential diagnosis between KD and deep neck infections is important, considering the variable head and...

A case of pyogenic liver abscess in a 10-year-old girl
Jung Lim Byun, Sun Hwan Bae, Sang Woo Park
Clin Exp Pediatr. 2010;53(5):666-668.   Published online May 31, 2010

Pyogenic liver abscesses are rare in children. In pediatric patients, altered host defences seem to play an important role. However, pyogenic liver abscess also occurs in healthy children. We experienced a case of pyogenic liver abscess in a healthy immunocompetent 10-year-old-girl. The patient presented two distinct abscesses: one subphrenic and the other intrahepatic. The intrahepatic abscess resolved with percutaneous drainage...

Original Article
Brain abscess in Korean children: A 15-year single center study
Cha Gon Lee, Seong Hun Kang, Yae Jean Kim, Hyung Jin Shin, Hyun Shin Choi, Jee Hun Lee, Mun Hyang Lee
Clin Exp Pediatr. 2010;53(5):648-652.   Published online May 31, 2010
Purpose

A brain abscess is a serious disease of the central nerve system. We conducted this study to summarize the clinical manifestations and outcomes of brain abscesses.

Methods

A retrospective chart review of pediatric patients diagnosed with brain abscesses from November 1994 to June 2009 was performed at Samsung Medical Center, Seoul, Korea.

Results

Twenty-five patients were included in this study. On average, 1.67 cases...

Case Report
Atypical presentation of Kawasaki disease resembling a retropharyngeal abscess
Eu Jin Kim, Young Su Lim, Ji Eun Yoon, Heon-Seok Han
Clin Exp Pediatr. 2009;52(2):251-255.   Published online February 15, 2009
Kawasaki disease is an acute systemic inflammatory disorder, the etiology of which has not yet been established. The clinical manifestations are non-specific and are common to many pediatric infectious and immunologic diseases. In 2 cases presenting fever, cervical lymphadenopathy, and retropharyngeal abscess-like lesions on the neck shown in a computerized tomography (CT) scan, the diagnosis of Kawasaki disease was delayed....
Kawasaki disease presenting as retropharyngeal abscess
Sung Yoon Cho, Hye Kyung Cho, Ky Young Cho, Hae Soon Kim, Sejung Sohn
Clin Exp Pediatr. 2008;51(9):1023-1027.   Published online September 15, 2008
A group of patients with Kawasaki disease (KD) initially present with cervical lymphadenitis or deep neck infection. These unusual KD presentations lead to unnecessary antibiotic therapy or surgical intervention, thereby delaying intravenous immunoglobulin treatment and increasing the risk of coronary artery damage. We present four KD patients whose initial presentations mimicked a retropharyngeal abscess. Nonsuppurative cervical lymphadenitis or suspected neck...
A case of Kawasaki disease preceding a retropharyngeal abscess
Hee Ok Park, Jae Woo Lim, Eun Jung Cheon, Kyung Ok Ko
Clin Exp Pediatr. 2008;51(5):542-545.   Published online May 15, 2008
Epidural hematoma (EDH) is relatively rare in newborn infants and frequently associated with instrumental deliveries or other complications during labor and delivery. Although surgical evacuation has been the most common therapy, many other procedures have been suggested. Although many epidural hematomas require surgical evacuation rather than non-surgical management, the conservatiob or aspiration of hematoma have been attempted. In the case...
Original Article
Clinical characteristics of deep neck abscess in children; 15 year experience in a university hospital
Min-Ji Goo, Jeong-Suk Yeom, Eo-Jin Kim, Jung-Je Park, Ji-Hyun Seo, Eun-Sil Park, Jae-Young Lim, Chan-Hoo Park, Hyang-Ok Woo, Hee-Shang Youn
Clin Exp Pediatr. 2007;50(7):649-654.   Published online July 15, 2007
Purpose : The objective of this study was to clarify the presentation, associated preceding illness, pathologic organisms, treatment and outcome of deep neck abscess in children according to age and location. Methods : We retrospectively reviewed the in-patient charts of children treated at our hospital for deep neck abscess. Thirty-five such patients were identified as having been treated...
A clinical study of deep neck abscess in children
Soo Jung Lee, Mee Yong Shin, Chang Hwi Kim, Yoon Woo Koh
Clin Exp Pediatr. 2007;50(4):363-368.   Published online April 15, 2007
Purpose : It has been reported that deep neck abscesses are recently increasing again. We analyzed pediatric cases with deep neck abscesses during the last several years to contribute to the treatment of the disease. Methods : The clinical data of 30 children under 16 years of age with deep neck abscess from February 2001 to July 2006 were analysed retrospectively....
Case Report
A case of lung abscess caused by Burkholderia cepacia in healthy child
Jung Hwa Lee, So Hee Lee, Seong Jin Hong, Young Chil Choi, Eun Gu Hwang
Clin Exp Pediatr. 2007;50(1):89-94.   Published online January 15, 2007
Burkholderia cepacia is a Gram-negative aerobic bacillus known to cause opportunistic infections in the immune-compromised hosts. This microorganism is strongly virulent and causes a necrotising invasive infection that may lead to death. As B. cepacia is highly resistant to various antimicrobials, combination antimicrobial therapy must be used instead of monotherapy. We report a successful treatment of lung abscess that was...
Primary psoas abscess confused with hip pathology
Young Ok Kim, Young Jong Woo
Clin Exp Pediatr. 2006;49(5):570-573.   Published online May 15, 2006
A healthy, 14-year-old boy presented with right hip pain and consequent fever after falling out of bed while sleeping. The patient could not walk and complained of severe pain with active and passive motion, which consisted mainly in extension and internal rotation of the right hip. Laboratory analysis of the peripheral blood identified leukocytosis and increased levels of acute phase...
A case of scalp abscess caused by Achromobacter xylosoxidans after vacuum delivery
Eun-Young Park, Moon-Kyung Kwon, Seon-Jeong Min, Hyung-Sik Hwang
Clin Exp Pediatr. 2006;49(4):451-454.   Published online April 15, 2006
Achromobacter xylosoxidans is an aerobic gram-negative bacillus that may cause opportunistic infections in immunocompromized patients and newborns. Neonatal scalp abscess is generally a complication of fetal scalp monitoring and is typically polymicrobial. We present a case of a newborn, delivered by vacuum extraction, who developed a scalp abscess that yielded growth of Achromobacter xylosoxidans.
A Case of Scrotal Abscess Associated with Gastroenteritis and Sepsis due to Salmonella Group D in a One Month Old Infant
You Sun Choi, Yoon Suk Jung, Sun Il Kim, Sung Hee Oh
Clin Exp Pediatr. 2003;46(6):602-605.   Published online June 15, 2003
Acute gastroenteritis due to Salmonella species, which usually improves on conservative treatment, can progress to sepsis and extraintestinal focal infection in very young infants. Frequent sites for extraintestinal infections are meninges, bone, joints, spleen and intravascular sites but scrotal abscess due to salmonella in children has been very rare. Literature search revealed only one newborn case of scrotal abscess with...
A Case of Congenital Solitary Liver Abscess
Sang Hee Kim, So Young Kim, You Jeong Kim, Hyun Hee Kim, Won Bae Lee, Kyung Tai Whang
Clin Exp Pediatr. 2002;45(11):1426-1429.   Published online November 15, 2002
Congenital solitary liver abscess in newborns is an extremely rare and serious disease. Only one case was reported in the literature. Most a liver abscesses have a postnatal origin. We encountered a premature infant who had a low. Apgar score and an elevated right diaphragm at birth. Pyogenic solitary liver abscess was diagnosed by ultrasound and computed tomography. Staphylococcus aureus...
A Case of Primary Multiple Intracerebral Aspergillosis Abscess in Neonate : Treatment with Amphotericin B, Flucytosine and Itraconazole
Byoung Lae Oh, Oh Kyung Lee, Yong Seog Kim, Young Sook Kim
Clin Exp Pediatr. 2000;43(8):1116-1121.   Published online August 15, 2000
Fungal infection of the central nervous system tends to occur mostly in immunosuppressed patients. In the pediatric population, it is usually seen in severely immunocompromised patients, particulary in children with chronic granulomatous disease and hematopoietic malignancies. Although aspergillosis is considered one of the most frequent agents of mycotic infection of the brain, it is especially rare in the neonatal period,...
A Case of Renal Abscess in Healthy Child
Jin Yeong Jeong, Young Seo Park, Soo Youn Ham
Clin Exp Pediatr. 2000;43(7):1012-1015.   Published online July 15, 2000
Renal abscess is rare in children and presents varying features which often lead to delay or error in diagnosis. Fever, lumbar pain, abdominal pain and occasional flank mass are the usual presenting complaints but a high degree of suspicion is important for the early detection of renal abscess. Hematogenous seeding of the kidney or ascending infection from the urinary collecting system are two proposed...
A Case of Bilateral Tubo-Ovarian Abscesses in a One-and-Half Year-Old Girl
Mun Hee Kim, Young Kyoo Shin, Baik Lin Eun, Sun Han Kim, Hai Joong Kim, Sang Hoon Cha, Young-Sik Kim
Clin Exp Pediatr. 2000;43(3):432-437.   Published online March 15, 2000
Tubo-ovarian abscess is an end-stage disease of acute pelvic inflammatory disease(PID). Since most cases of PID are caused by sexually transmitted microorganisms, this is very rare in children. Here, we report an 1¨o-year-old girl with bilateral tubo-ovarian abscesses. She was admitted to our department with chief complaints of fever, vomiting and diarrhea. Abdominal ultrasonography and CT scanning of the patient...
A Case of Abdominal Wall Abscess
June Key Chung, Kyung Hwan, Jae Ock Park, Sang Mann Shin, Young Jun Lee
Clin Exp Pediatr. 1996;39(12):1763-1768.   Published online December 15, 1996
We experienced a case of abdominal wall abscess originated from abdominal wall hematoma in 3 year old girl, who complained of abdominal pain, fever and lethargy. On admission, abdominal ultrasonography, abdominal computed tomography, and diagnostic needle aspiration were performed. Incision was made over the abscess so necrotic tissue and pus were evacuated. A nelaton catheter drain was placed into abscess cavity...
A Case of Chronic Granulomatous Disease Associated with Pyogenic Liver Abscess
S.K. Lee, J.H. Kim, S.Y. Kim, E.T. Oh, H.J. Kang, K.S. Kim
Clin Exp Pediatr. 1996;39(4):585-590.   Published online April 15, 1996
We have experienced a case of chronic granulomatous disease associated with pyogenic liver abscess in 10 years old male Chronic granulomatous disease(CGD) is a hereditary disorder of neutrophil with defective killing and digesting of ingested catalase-positive bacteria or fungi in spite of normal phagocytosis. It was diagnosed by clinical finding and laboratory examination including NBT test. Pyogenic liver abscess in old...
Two Cases of Multiple Brain Abscess Associated with Bacterial Meninitis in Neonate
Jin Jea Kim, Heung Keun Oh, Hyun Sung Park, Chang Ok Soh, Jin Young Jung
Clin Exp Pediatr. 1993;36(10):1466-1470.   Published online October 15, 1993
We experienced mutiple brain abscess in two neonates. Diagnosis was made brain CT scan, which revealed multiple ring-like enhancing leason in both frontoparietal and left posterior parietal cerebral parenchyme. Therapy was consisted of systemic antibiotic treatment and CSF V-P shunt operation due to complicated hydrocephalus. One neonate was died and the other neonate has been followed up due to...
Original Article
Orbital Infections in Children.
Hak Won Kim, Young Tae Kim, Sung Hee Oh, Ha Baik Lee
Clin Exp Pediatr. 1990;33(7):932-939.   Published online July 31, 1990
Seven pediatric patients with orbital infections who were managed at the Hanyang University Hospital from April 1981 to June 1988 were reviewed. The summary of the study were as follows. 1) Seven patients were distributed between 3 months to 14 years of age and four were male. 2) Conditions associated with orbital infections were furuncles (eyelid, nasal cavity, finger), upper respiratory tract infections, and extraction of dental...
A Case of multiple Splenic Abscess.
J H Kim, Y H Kim, J O Lee, E R Kim, S J Lee
Clin Exp Pediatr. 1989;32(2):244-249.   Published online February 28, 1989
The authors experienced a case of multiple splenic abscess in 3 years old girl with a chief complaint of fever, anorexia and abdominal pain for 2 months. The abscess cavity was detected by abdominal ultrasonography and computerized axial tomography. Computerized axial tomography appeared as a multiple round low density areas in the spleen. Abdominal ultrasonography appeared as poorly defined focal decreased echoes in the...
Case Report
A Case of Multiple Abscesses due to Renal Stone.
Soo Ryun Choi, Choong Hyun Kim, Seung Ki Kim, Ji Sub Oh
Clin Exp Pediatr. 1985;28(12):1245-1249.   Published online December 31, 1985
We have experienced a case of multiple abscesses due to a renal stone in a 6 years-old girl who presented with, high fever, right upper quadrant tenderness and frequent vomiting. The diagnosis was made through laboratory findings, I.V.P. and operative finding. A brief review of the related literature is given.
A case of Hydronephrosis due to Periappendical Abscess.
Sang Hee Cho, In Hee Park, Gwi Jong Choi, Woo Gill Lee
Clin Exp Pediatr. 1985;28(2):187-190.   Published online February 28, 1985
The authers experienced a case of hydronephrosis due to periappendiceal abscess confirmed by eyploratory laparatomy. Follow up IVP oi POD 杯29 showed normal pelvocalyceal pattern. A brief review of the literatures pertinent of this subject was done.