{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T13:59:25Z","timestamp":1790171965275,"version":"4.1.0"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Community-associated methicillin-resistant\n                    <jats:italic toggle=\"yes\">Staphylococcus aureus<\/jats:italic>\n                    (MRSA) is an emerging cause of skin and soft tissue infections in otherwise healthy pediatric populations. Empirical beta-lactam therapy failure may delay appropriate management, particularly in community-exposed individuals. An 11-year-old competitive swimmer presented with progressive lower lip swelling and purulent discharge unresponsive to amoxicillin therapy. Clinical examination revealed a solitary pustular lesion with significant edema on the lower vermilion border. Microbiological culture confirmed MRSA resistant to beta-lactams but susceptible to clindamycin and gentamicin. The patient was treated with local debridement, antisepsis, systemic clindamycin, and topical gentamicin, resulting in complete resolution within 10 days. This case emphasizes the importance of microbiological evaluation in persistent labial abscesses in pediatric patients, particularly in the context of rising antimicrobial resistance.\n                  <\/jats:p>","DOI":"10.4103\/ccd.ccd_112_26","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T12:01:13Z","timestamp":1790078473000},"page":"204-206","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Amoxicillin Treatment Failure Revealing Community-associated Methicillin-resistant Staphylococcus aureus in an 11-year-old Swimmer with Nonodontogenic Labial Abscess"],"prefix":"10.4103","volume":"17","author":[{"given":"Desiana","family":"Radithia","sequence":"first","affiliation":[{"name":"Department of Oral Medicine, Faculty of Dental Medicine, Airlangga University, Surabaya, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aulya Setyo","family":"Pratiwi","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine, Faculty of Dental Medicine, Airlangga University, Surabaya, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nurina Febriyanti","family":"Ayuningtyas","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine, Faculty of Dental Medicine, Airlangga University, Surabaya, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene Anastasia","family":"Tampubolon","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine, Oral Medicine Specialist Study Program, Faculty of Dental Medicine, Airlangga University, Surabaya, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kharinna","family":"Widowati","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine, Oral Medicine Specialist Study Program, Faculty of Dental Medicine, Airlangga University, Surabaya, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andari","family":"Sarasati","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine, Faculty of Dental Medicine, Airlangga University, Surabaya, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"key":"R1-20260923","doi-asserted-by":"crossref","first-page":"94","DOI":"10.23999\/j.dtomp.2023.9.1","article-title":"A lower lip infection (furuncle) complicated by abscess of the lip, suppurative cheilitis glandularis, lip necrosis, septic bilateral multilobar necrotizing (destructive) pneumonia, and pleurisy (pleuritis): A case report and literature review","volume":"7","author":"Morkotun","year":"2023","journal-title":"J Diagn Treat Oral Maxillofac Pathol"},{"key":"R2-20260923","doi-asserted-by":"crossref","first-page":"239","DOI":"10.4274\/tao.2021.2021-4-9","article-title":"Immunocompetent young patient presenting with unilateral lip abscess due to peeling exfoliated lip skin","volume":"59","author":"Tekcan \u015eanl\u0131","year":"2021","journal-title":"Turk Arch Otorhinolaryngol"},{"key":"R3-20260923","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1016\/S0140-6736(21)02724-0","article-title":"Antimicrobial Resistance Collaborators. 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