Acinetobacter baumannii orofacial cellulitis: report of 2 cases.

Autor: Pereira TDSF; Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Minas Gerais, Brazil. Electronic address: Thaissfp@ufmg.br., Travassos DV; Department of Social and Preventive Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Minas Gerais, Brazil., Silva RCC; Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Minas Gerais, Brazil., Nunes LFM; Multiprofessional Integrated Residency in Health, Hospital das Clínicas, Universidade Federal de Minas Gerais, Minas Gerais, Brazil., Santos ME; Multiprofessional Integrated Residency in Health, Hospital das Clínicas, Universidade Federal de Minas Gerais, Minas Gerais, Brazil., Lanza CR; Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Minas Gerais, Brazil., Goebel GA; Residence in Pediatrics, Hospital das Clínicas, Universidade Federal de Minas Gerais, Minas Gerais, Brazil., Kakehasi FM; Department of Pediatrics, School of Medicine, Universidade Federal de Minas Gerais, Minas Gerais, Brazil., Silva TA; Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Minas Gerais, Brazil.
Jazyk: angličtina
Zdroj: Oral surgery, oral medicine, oral pathology and oral radiology [Oral Surg Oral Med Oral Pathol Oral Radiol] 2019 Jun; Vol. 127 (6), pp. e118-e122. Date of Electronic Publication: 2019 Feb 22.
DOI: 10.1016/j.oooo.2019.02.012
Abstrakt: Acinetobacter baumannii infection of skin and soft tissues is uncommon and usually associated with trauma. The present report describes 2 pediatric cases of cellulitis in the orofacial region, caused by A. baumannii infection with a fatal outcome. A 12-year-old male patient, diagnosed with acute promyelocytic leukemia, presented with an ulcerated lesion on the lip suggestive of local trauma. The condition progressed to cellulitis, epithelial necrosis, and nonspecific vesicles and blisters. The second case occurred in a 10-year-old male patient with a diagnosis of Burkitt lymphoma. The patient's condition progressed to World Health Organization Grade IV mucositis and cellulitis. In both cases, hemoculture was positive for multidrug-resistant A. baumannii. In conclusion, A. baumannii should be considered a potentially multidrug-resistant pathogen in the presence of skin and soft tissue cellulitis. Ulcerated oral lesions may place hospitalized pediatric patients at risk for A. baumannii infection.
(Copyright © 2019 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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