Mild symptoms (well appearing, absent/low-grade fever, minimal tenderness)
Serial exams, PMD follow-up
PO Antibiotic treatment if associated GAS pharyngitis found
Moderate symptoms (fever, tenderness without fluctuance)
Empiric PO Antibiotic therapy that covers S. Aureus and GAS
Cephalexin 500 mg PO QID x 10 days
Amoxicillin-Clavulanate 875 mg PO BID x 10 days
Clindamycin 300-450 mg PO TID x 10 days
Consider anaerobic coverage if found to have poor dentition or evidence of periodontal disease
Severe symptoms (ill-appearing, fever, fluctuance or overlying cellulitis)
Incision & Drainage or Needle Aspiration
IV Antibiotics
Serial exams, PMD follow-up
PO Antibiotic treatment if associated GAS pharyngitis found
Empiric PO Antibiotic therapy that covers S. Aureus and GAS
Cephalexin 500 mg PO QID x 10 days
Amoxicillin-Clavulanate 875 mg PO BID x 10 days
Clindamycin 300-450 mg PO TID x 10 days
Consider anaerobic coverage if found to have poor dentition or evidence of periodontal disease
Cephalexin 500 mg PO QID x 10 days
Amoxicillin-Clavulanate 875 mg PO BID x 10 days
Clindamycin 300-450 mg PO TID x 10 days
Incision & Drainage or Needle Aspiration
IV Antibiotics
Lymphadenitis
Reactive adenitis
Pharyngitis
Bacterial lymphadenitis
Laryngitis
Tuberculous lymphadenitis
Lymphangitis
Cellulitis