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Perineal abscess in pediatrics

Frizzo APM;
Alves ALJ;
Cabral KC;
Cascabulho AME;
Lima FC;
Lessa LRK;
Manhães MBN;
Rodrigues WL;
Gottardi LF;
Garcia PMR;
Pimentel TM

Ana Paula Machado Frizzo

André Luiz Jardim Alves

Kamila Campos Cabral

Ana Maria Esteves Cascabulho

Fernanda Cardilo Lima

Luiza Ramos Kelly Lessa

Martha Borges Neves Manhães

Wellington Luiz Rodrigues

Lorena de Freitas Gottardi

Paula Martins Ribeiro Garcia

Tarcilio Machado Pimentel


Keywords

Perineal abscess
Perineal infection in pediatrics
Pediatric perineal abscess
Perineal injury

Abstract

Perineal abscess is a clinical condition that involves the formation of purulent collections in the perineal region, presenting significant debilitating potential due to its high vascularization, which favors the spread of infection and can progress to serious complications such as sepsis and Fournier's syndrome. This article reviews the complexity of the management of perineal abscess in children, highlighting its multifactorial etiology and the need for an individualized approach in diagnosis and treatment, also exposing a case report of perineal abscess in a pediatric patient. The current literature indicates that the appropriate choice of antibiotics, such as ceftriaxone, metronidazole, amoxicillin/clavulanate, and trimethoprim/sulfamethoxazole, is crucial for infection control and prevention of complications, including recurrences and spread of infection. In addition to antibiotic therapy, early surgical drainage is often required for effective management. This study was conducted with a case report on the topic in question, followed up in a pediatric service of a teaching hospital, and through a literature review. To this end, recent scientific articles and theses were used, highlighting the importance of new research to broaden the understanding of the subject and improve clinical results in future cases.

 

DOI:https://doi.org/10.56238/sevened2024.026-053


Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Copyright (c) 2024 Ana Paula Machado Frizzo, André Luiz Jardim Alves , Kamila Campos Cabral, Ana Maria Esteves Cascabulho, Fernanda Cardilo Lima, Luiza Ramos Kelly Lessa , Martha Borges Neves Manhães , Wellington Luiz Rodrigues , Lorena de Freitas Gottardi, Paula Martins Ribeiro Garcia , Tarcilio Machado Pimentel

Author(s)

  • Ana Paula Machado Frizzo
  • André Luiz Jardim Alves
  • Kamila Campos Cabral
  • Ana Maria Esteves Cascabulho
  • Fernanda Cardilo Lima
  • Luiza Ramos Kelly Lessa
  • Martha Borges Neves Manhães
  • Wellington Luiz Rodrigues
  • Lorena de Freitas Gottardi
  • Paula Martins Ribeiro Garcia
  • Tarcilio Machado Pimentel