Sweat gland abscesses develop rarely in neonates, most often in association with malnutrition or debilitation. The infection also has been termed periporitis staphylogenes because of the almost uniform presence of S.Aureus in the lesions. It appears that lesions of miliaria become infected secondarily, followed by extension of the infection into the sweat gland apparatus and, occasionally into the adjacent subcutaneous tissue. Miliaria like lesions, however, are not a constant feature. The 1 to 2 cm, round to oval nodular abscesses occur most commonly on the neck, occiput, back, and buttocks, and unlike furuncles and carbuncles of follicular origin, they are nontender, nonpointing, and cold. Constitutional symptoms can accompany numerous large abscesses, and lymphangitis or cellulitis occurs rarely. Therapy consist of control of factors such as skin occlusion or fever that predispose to miliaria, correction of malnutrition,local care of abscesses, and use of antistaphylococcal antibiotics. HEaling occurs over several weeks, generally without scarring.

Axillary abscesses occur predominantly in adolescents, accounting for 6,7% of 564 culture-positive abscesses in patients evaluated in one urban emergency department. In this report 76% were female, although 46% of axillary abscesses were due to CA-MRSA and 24% to MSSA, a surprising 22% were caused by Proteus mirabilis.

Principles and Practice of Pediatric Infectious Diseases, 4th Edition

Expert Consult - Online and Print

By Sarah S. Long, MD, Larry K. Pickering, MD and Charles G. Prober, MD

Elsevier: 2012 halaman 457-458