Needle aspiration as therapeutic management for suppurative cervical lymphadenitis in children / 소아과

PURPOSE: This study aimed to evaluate the usefulness of the needle aspiration alternative to open surgical drainage of children with suppurative cervical lymphadenitis requiring surgical drainage. METHODS: From January 1998 to June 2008, we retrospectively reviewed 38 children treated with needle aspiration as management with suppurative cervical lymphadenitis instead of open surgical drainage. RESULTS: All 38 children underwent only 1 puncture. Two patients (5.2%) out of 38 patients experienced reformation of an abscess and all recovered completely after re-treatment with antibiotics. Minor complications were detected in 2 patients (5.2%). One complication originated from remnant necrotic tissue and the other involved formation of a small scar in two patients, which resolved spontaneously. There were no major complications. CONCLUSION: Needle aspiration can be a simple, safe, and effective alternative procedure to open surgical drainage of children with suppurative cervical lymphadenitis requiring surgical drainage.

Risk Factors of Epilepsy after Central Nervous System Infection in Children / 대한소아신경학회지

PURPOSE: We performed this study in order to investigate the incidence and risk factors in acute phase of epilepsy after previous central nervous system (CNS) infection. METHODS: We retrospectively studied 74 children with epilepsy after CNS infection from January 2000 to June 2007. We compared the significant difference of the demographic findings, underlying disease, clinical features, and findings of EEG and brain MRI between the epilepsy group and the control group after CNS infection. RESULTS: Overall incidence of patients with epilepsy after CNS infection was 12.2%. The incidence of epilepsy in the children with seizure during acute stage of the illness, vomiting, decreased mentality, fever and headache was 26.5%, 24.0%, 16.6%, 10.2%, 9.1%, respectively. The incidence of epilepsy in children who had abnormal findings of EEG and brain MRI was 28.5% and 20.0%. The children who had seizure during acute stage(P=0.0005), vomiting(P=0.0261) and abnormal EEG finding(P=0.0065) had significantly higher incidence of epilepsy after CNS infection. CONCLUSION: The incidence of children with epilepsy after CNS infection was 12.2%. Special attention and follow-ups are needed to detect vomiting, seizure and abnormal EEG findings in acute phase of CNS infection.