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Necrotizing fasciitis after peritonsillar abscess in an immunocompetent patient. (CROSBI ID 254741)

Prilog u časopisu | izvorni znanstveni rad | međunarodna recenzija

Skitarelić, Neven ; Mladina, Ranko ; Matulić, Zlatko ; Kovačić, Marijan Necrotizing fasciitis after peritonsillar abscess in an immunocompetent patient. // Journal of laryngology and otology, 113 (1999), 759-761

Podaci o odgovornosti

Skitarelić, Neven ; Mladina, Ranko ; Matulić, Zlatko ; Kovačić, Marijan

engleski

Necrotizing fasciitis after peritonsillar abscess in an immunocompetent patient.

Cervical necrotizing fasciitis (CNF) is a rapidly progressive, severe bacterial infection of the fascial planes of the head and neck. Group A beta haemolytic Streptococcus spp. (GABHS), Staphylococcus spp., or obligatory anaerobic bacteria are the most common causative pathogens. The disease usually results from a dental source or facial trauma. Extensive fascial necrosis and severe systemic toxicity are common manifestations of CNF. Review of the literature reveals only seven such cases, with four successful outcomes. The authors present the case of a 50-year-old immunocompetent female with CNF arising from a peritonsillar abscess. Intravenous immunoglobulins in conjunction with surgery and antibotics were used successfully. The authors also suggest the importance of the early diagnosis, aggressive surgical debridement, broadspectrum antibiotics, and possible usefulness of the intravenous immunoglobulins in the treatment of CNF, especially when the disease is associated with toxic shock syndrome.

Fasciitis, necrotizing ; Inununoglobulins, intravenous

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Podaci o izdanju

113

1999.

759-761

objavljeno

0022-2151

1748-5460

Povezanost rada

Kliničke medicinske znanosti

Indeksiranost