Pediatric cervicofacial lymphadenitis caused by Bartonella henselae

J.A. Lindeboom

doi:10.1016/j.oooo.2015.06.031

Pediatric cervicofacial lymphadenitis caused by Bartonella henselae

J.A. Lindeboom

Maxillofacial Surgery (AMC)

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

Background
Chronic cervicofacial lymphadenitis in children is often caused by nontuberculous mycobacterium or Bartonella henselae species (known as cat scratch disease).

Methods
Bartonella henselae infection was diagnosed in 53 of 427 children with cervicofacial lymphadenopathy by polymerase chain reaction.

Results
The age of patients ranged from 16 to 148 months (median, 59 months), 28 (53%) were male, and 25 were female (47%). The submandibular lymph nodes were most commonly affected (92%). Patients were not treated with antibiotics. In 11 (21%) patients, aspiration of pus was performed to facilitate drainage, which led to a mean resolution of 5 ± 3.1 months compared with a mean resolution time of 8.2 ± 3.8 months for 40 patients treated with a wait-and-see policy (P = .01).

Conclusions
Bartonella henselae is a common pathogen in children with chronic cervicofacial lymphadenitis. Treatment usually involves a wait-and-see approach, but in selected cases, aspiration may be needed for symptomatic relief.

Original language	English
Pages (from-to)	469-473
Journal	Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Volume	120
Issue number	4
DOIs	https://doi.org/10.1016/j.oooo.2015.06.031
Publication status	Published - 2015

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@article{bff15f97585940bda9eef09d15e31188,

title = "Pediatric cervicofacial lymphadenitis caused by Bartonella henselae",

abstract = "BackgroundChronic cervicofacial lymphadenitis in children is often caused by nontuberculous mycobacterium or Bartonella henselae species (known as cat scratch disease).MethodsBartonella henselae infection was diagnosed in 53 of 427 children with cervicofacial lymphadenopathy by polymerase chain reaction.ResultsThe age of patients ranged from 16 to 148 months (median, 59 months), 28 (53%) were male, and 25 were female (47%). The submandibular lymph nodes were most commonly affected (92%). Patients were not treated with antibiotics. In 11 (21%) patients, aspiration of pus was performed to facilitate drainage, which led to a mean resolution of 5 ± 3.1 months compared with a mean resolution time of 8.2 ± 3.8 months for 40 patients treated with a wait-and-see policy (P = .01).ConclusionsBartonella henselae is a common pathogen in children with chronic cervicofacial lymphadenitis. Treatment usually involves a wait-and-see approach, but in selected cases, aspiration may be needed for symptomatic relief.",

author = "J.A. Lindeboom",

year = "2015",

doi = "10.1016/j.oooo.2015.06.031",

language = "English",

volume = "120",

pages = "469--473",

journal = "Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology",

issn = "2212-4403",

publisher = "Elsevier Inc.",

number = "4",

}

TY - JOUR

T1 - Pediatric cervicofacial lymphadenitis caused by Bartonella henselae

AU - Lindeboom, J.A.

PY - 2015

Y1 - 2015

N2 - BackgroundChronic cervicofacial lymphadenitis in children is often caused by nontuberculous mycobacterium or Bartonella henselae species (known as cat scratch disease).MethodsBartonella henselae infection was diagnosed in 53 of 427 children with cervicofacial lymphadenopathy by polymerase chain reaction.ResultsThe age of patients ranged from 16 to 148 months (median, 59 months), 28 (53%) were male, and 25 were female (47%). The submandibular lymph nodes were most commonly affected (92%). Patients were not treated with antibiotics. In 11 (21%) patients, aspiration of pus was performed to facilitate drainage, which led to a mean resolution of 5 ± 3.1 months compared with a mean resolution time of 8.2 ± 3.8 months for 40 patients treated with a wait-and-see policy (P = .01).ConclusionsBartonella henselae is a common pathogen in children with chronic cervicofacial lymphadenitis. Treatment usually involves a wait-and-see approach, but in selected cases, aspiration may be needed for symptomatic relief.

AB - BackgroundChronic cervicofacial lymphadenitis in children is often caused by nontuberculous mycobacterium or Bartonella henselae species (known as cat scratch disease).MethodsBartonella henselae infection was diagnosed in 53 of 427 children with cervicofacial lymphadenopathy by polymerase chain reaction.ResultsThe age of patients ranged from 16 to 148 months (median, 59 months), 28 (53%) were male, and 25 were female (47%). The submandibular lymph nodes were most commonly affected (92%). Patients were not treated with antibiotics. In 11 (21%) patients, aspiration of pus was performed to facilitate drainage, which led to a mean resolution of 5 ± 3.1 months compared with a mean resolution time of 8.2 ± 3.8 months for 40 patients treated with a wait-and-see policy (P = .01).ConclusionsBartonella henselae is a common pathogen in children with chronic cervicofacial lymphadenitis. Treatment usually involves a wait-and-see approach, but in selected cases, aspiration may be needed for symptomatic relief.

U2 - 10.1016/j.oooo.2015.06.031

DO - 10.1016/j.oooo.2015.06.031

M3 - Article

SN - 2212-4403

VL - 120

SP - 469

EP - 473

JO - Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

JF - Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

IS - 4

ER -

Pediatric cervicofacial lymphadenitis caused by Bartonella henselae

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