Clinical microbiological case: facial inflammation in a child with a subnormal serum concentration of IgG2

Abstract

A 16-month-old boy presented with a history of facial pain and swelling during the last 3 days and temperature elevation up to 39 8C. He had been given oral cefuroxime axetil therapy (30mg/kg/ 24 h) for the preceding 72 h, but the inflammation did not improve. The child was previously healthy and his growth was normal. The physical examination revealed tenderness, erythema, slight swelling and heat over an area with clearly demarcated edges, extending from the upper lip to the skin left of the nose, without purulent collection. A small abscess was found