Zakażenia ropne głębokich przestrzeni szyi w Klinice Otolaryngologii PUM w okresie ostatnich 5 lat

Kawczyński, Maciej; Amernik, Katarzyna; Kelar, Izabela; Jaworowska, Ewa; Paradowska-Opałka, Beata

doi:10.1016/s2084-5308(12)70078-3

Cited by 4 publications

(6 citation statements)

References 16 publications

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“…Knowledge about how to treat deep cervical infections is necessary in the daily practice of a maxillofacial surgeon [12]. A rapidly progressing purulent process may spread in the interfascial spaces of the neck which may affect the mediastinum, and be the starting point of a septic shock [6,13,14]. The treatment plan must be based on the entire clinical picture, the results of laboratory investigations and imaging tests.…”

Section: Discussionmentioning

confidence: 99%

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Streptococcus constellatus as an aetiological factor of extensive neck phlegmon complicated by sepsis – case study

Bilska-Stokłosa

Tomczak

Hampelska

et al. 2019

Ann Agric Environ Med.

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Introduction. Streptococcus constellatus are opportunistic microorganisms. When immunocompromised patients with concomitant systemic diseases are infected with S.constellatus, the bacteria may cause sepsis. Case study. A patient was admitted to hospital due to septic shock and multi-organ dysfunction in the course of neck phlegmon. The microbiological system identified S. constellatus in the patient who worked as a dog groomer. These facts confirmed that this aetiological factor may have caused such a serious infection because S. constellatus is a bacterial species found in dogs. It is most likely that the bacteria colonised the patient. Zoonotic transmission of microorganisms is particularly important for the development of infections in dogs and humans. Knowledge about how to treat deep cervical infections is necessary in the daily practice of a maxillofacial surgeon. The right antibiotic can applied only when the strain causing the infection has been identified.

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Section: Discussionmentioning

confidence: 99%

“…However, neck phlegmon is still a danger to life. The most common primary causes are pharyngeal infections, especially tonsillitis, as well as odontogenic infections [6,7,8].…”

Section: Introductionmentioning

confidence: 99%

Streptococcus constellatus as an aetiological factor of extensive neck phlegmon complicated by sepsis – case study

Bilska-Stokłosa

Tomczak

Hampelska

et al. 2019

Ann Agric Environ Med.

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“…As it commonly occurs in older age patients the risk factors also include cachexy, dehydration and hydro-electrolyte disbalance disorders, a successful prevention of these conditions, especially in this age group, is of significant importance (1,2). The first-line diagnostic tool for parotid gland diseases is ultrasonography as it is easily available and gives good radiological insight into differential diagnosis (8). However, if severe complications of acute bacterial parotitis are suspected, particularly parapharyngeal space and extended neck phlegmon, or mediastinitis, CT scan of neck and/or thorax with contrast should be immediately performed (2,8,9,10,11,12).…”

Section: Discussionmentioning

confidence: 99%

“…The first-line diagnostic tool for parotid gland diseases is ultrasonography as it is easily available and gives good radiological insight into differential diagnosis (8). However, if severe complications of acute bacterial parotitis are suspected, particularly parapharyngeal space and extended neck phlegmon, or mediastinitis, CT scan of neck and/or thorax with contrast should be immediately performed (2,8,9,10,11,12). The management of parotid gland abscess includes broad-spectrum antibiotic therapy, and surgical drainage, which is mandatory in patients who also develop neck phlegmon (2,4,10,12,13).…”

Section: Discussionmentioning

confidence: 99%

“…Due to various medical problems with which the patients with neck phlegmon are struggling which can also include mediastinitis and sepsis, it is crucial to underline the necessity of complex medical assessment of the patient's general condition and medical therapy, especially incuding the hydro-electrolyte imbalance management. Parotid gland abscess and complicated neck phlegmon could be successfully treated, if immediate medical and surgical management is undertaken following careful and constant medical care (8).…”

Section: Discussionmentioning

confidence: 99%

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Craniofacial and neck phlegmon with sepsis as a complication of the parotid gland abscess – a case report

Ryczer

Męczkowska

Niedzielski

2019

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The diagnosis of acute bacterial parotitis usually does not cause much clinical concern due to the characteristic clinical signs and symptoms, such as pain and swelling of parotid gland associated with fever and elevated inflammatory markers in laboratory tests. Early diagnosis and accurate treatment result in fast recovery without complications. In rare cases, acute bacterial parotitis may cause severe complications, such as parotid gland abscess or parapharyngeal space phlegmon. Parapharyngeal space phlegmon is a severe, life-threatening condition. It can spread to craniofacial and neck fascial spaces, mediastinum, and lead to sepsis and septic shock. Craniofacial and neck phlegmon requires prompt surgical treatment and intensive antibiotic therapy. In this case study, we present an 82-year-old woman with bacterial parotitis that resulted in multiple complications. The first complication was parotid gland abscess, which caused extended craniofacial and neck phlegmon that led to sepsis. As a result of immediate intensive treatment, which consisted of broad-spectrum antibiotic therapy, surgical drainage, and hydro-electrolyte imbalance management, the treatment ended in a success. The patient fully recovered and was discharged home in a good general condition.

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Zębopochodne stany zapalne tkanek miękkich twarzy i szyi w materiale Oddziału Otolaryngologii Szpitala Wojewódzkiego im. św. Łukasza w Tarnowie – obserwacja 5-letnia

Wojtarowicz

Dobroś

2014

Otolaryngologia Polska

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Zakażenia ropne głębokich przestrzeni szyi w Klinice Otolaryngologii PUM w okresie ostatnich 5 lat

Cited by 4 publications

References 16 publications

Streptococcus constellatus as an aetiological factor of extensive neck phlegmon complicated by sepsis – case study

Streptococcus constellatus as an aetiological factor of extensive neck phlegmon complicated by sepsis – case study

Craniofacial and neck phlegmon with sepsis as a complication of the parotid gland abscess – a case report

Zębopochodne stany zapalne tkanek miękkich twarzy i szyi w materiale Oddziału Otolaryngologii Szpitala Wojewódzkiego im. św. Łukasza w Tarnowie – obserwacja 5-letnia

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