[Facial cellulite associated with XXXX in an @entity1 ].

@entity1 @entity3609 @entity801 @entity32 @entity115 @entity4034 @entity798 @entity33619 @entity3061 @entity733 @entity4421 @entity221
INTRODUCTION: The discovery of a jugular tumefaction in an @entity1 evokes several diseases. We report the case of a 4-month-old @entity1 whose jugular cellulite revealed @entity4034 . CASE REPORT: A 4-month-old @entity1 was referred for hard, hot tumefaction of the right cheek and multiple cervical adenopathies. The suggested diagnosis was cellulite of cutaneous origin. He presented 21 900/mm(3) hyperleukocytosis associated with an inflammatory biological syndrome. Standard x-ray of the facial mass was normal. Sonography of the face showed thickening of the soft subcutaneous tissues and retro and sub-mandibular adenopathies with abcedation. Antibiotherapy with @entity115 and @entity798 led to rapid improvement. Three days after withdrawal of the antibiotherapy, the tumefaction recurred without @entity221 . A facial scan eliminated @entity3609 and showed @entity3061 of the external plateau of the ascending branch of the mandible with periosteal appositions. Histological examination of a surgical bone biopsy showed @entity4421 and culture revealed hemolytic beta streptococci. Six weeks of antibiotherapy (initially with @entity115 and @entity801 , then @entity115 in monotherapy) led to the regression of all cutaneous signs. COMMENTS: When confronted with a tumefaction in this area, malignant or benign tumoral causes such as @entity3609 must be eliminated. Infectious causes ( @entity733 , parotid @entity32 and @entity4034 ) must be evoked and distinguished from @entity33619 ( @entity33619 ). Standard radiological imaging, scan or scintigraphy are useful diagnostic tools. If @entity3061 is discovered, a biopsy must be taken for anatomopathological and biological examination.
