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Acute - sick
child, raised temp., red swollen
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face.
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Chronic - sinus
tract present, mobile and/or
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discolored tooth,
halitosis.
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Tx -
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remove the cause
and local drainage and debridement,
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May admit if
spikes in temp. seen, facial space involvement
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suspected or seen
&/or dehydrated.
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Antibiotics -
only if systemic involvement seen, or if child is
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immunocompromised.
Pen family first drug of choice.
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