Speciality
Spotlight

 




 

Otolaryngology


 

    

  




Neck
Infection

      

  • Mohammedi I, Ceruse P, Duperret S, et al (Edouard Herriot Hosp, Lyon, France)

    Cervical Necrotizing Fasciitis: 10 Years’ Experience at a Single Institution 

    Intensive Care Med 25: 829-834, 1999

            

    Life threatening infections most frequently originate from supportive complications of dental or oropharyngeal infections.

             

    20 consecutive patients with the diagnosis of this fasciitis admitted in the intensive care unit between 1987 to 1998 were reviewed retrospectively. The original sources of infection were (6 patients) dental, (6) pharyngeal, (4) iatrogenic, (1) posttraumatic, and (3) unknown origin.

            

    The most commonly implicated organisms were Streptococcus prevotella and Peptostreptococcus: 25% of the initial infection sites revealed the presence of mixed flora of anaerobic and aerobic bacteria. 3 patients died.

              

    Conclusion : Prompt surgical debridement was considered and appropriate antibiotics and intensive care support resulted in better outcome. None had hyperbaric treatment. 

             

    According to R. A. Otto, early and adequate repeated debridement to viable margins are necessary. Though the authors have not used hyperbaric oxygen, it is used routinely in severe cases.

           

 



 

Speciality Spotlight

 

    
  

Neck Infection
      

  • Mohammedi I, Ceruse P, Duperret S, et al (Edouard Herriot Hosp, Lyon, France)
    Cervical Necrotizing Fasciitis: 10 Years’ Experience at a Single Institution 
    Intensive Care Med 25: 829-834, 1999
            
    Life threatening infections most frequently originate from supportive complications of dental or oropharyngeal infections.
             
    20 consecutive patients with the diagnosis of this fasciitis admitted in the intensive care unit between 1987 to 1998 were reviewed retrospectively. The original sources of infection were (6 patients) dental, (6) pharyngeal, (4) iatrogenic, (1) posttraumatic, and (3) unknown origin.
            
    The most commonly implicated organisms were Streptococcus prevotella and Peptostreptococcus: 25% of the initial infection sites revealed the presence of mixed flora of anaerobic and aerobic bacteria. 3 patients died.
              
    Conclusion : Prompt surgical debridement was considered and appropriate antibiotics and intensive care support resulted in better outcome. None had hyperbaric treatment. 
             
    According to R. A. Otto, early and adequate repeated debridement to viable margins are necessary. Though the authors have not used hyperbaric oxygen, it is used routinely in severe cases.
           

 

 

By |2022-07-20T16:43:14+00:00July 20, 2022|Uncategorized|Comments Off on Neck Infection

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