Pathologie non traumatique du genou vue au CHU de Bouaké : aspects épidémiologiques, cliniques, paracliniques, étiologiques et thérapeutiques

Evolution and prognosis of severe cervicofacial cellulitis in a Cameroonian secondary hospital

“…Many complications of severe cervicofacial cellulitis are reported by authors, such as cutaneous or pharyngeal stulas, sepsis or septic shock, osteitis of the jaw, thoracic and intracranial di usion, venous thrombosis [16,17]. ey were observed in our series when the treatment was not respected and was the cause of death in 4.44% of cases.…”

“…Fever and anatomical locations were investigated to assess the severity of cervicofacial cellulitis and the presumed duration of hospitalization [14]. Moreover, necrosis and septic shock have been associated with a high mortality risk [13,16]. us, they can be considered as severity factors of cervicofacial cellulitis, and their assessment should take an important place in the initial evaluation of the severity of the pathology.…”

“…e choice of the initial antibiotics is based on the data of the literature that reveal the presence of a bacterial polymorphism. e use of beta-lactams and metronidazole is the rst choice, but it should be adapted to the bacteriological exams [15][16][17]. High doses of amoxicillin are recommended on rst intention and should be associated in severe cases with metronidazole [18].…”

“…e surgical debridement of the infected site will decrease the local bacterial load. is is well achieved by an opening of the anatomic spaces involved and daily irrigation with an antiseptic solution [3,16,17]. Since the face and neck's deep faces communicate with each other, it is important to drain the collection early to prevent its spread.…”