Fasceite necrotizante cervical secundária a amigdalite bacteriana

Detalhes bibliográficos
Autor(a) principal: Zilberstein, Bruno
Data de Publicação: 2005
Outros Autores: Cleva, Roberto de, Testa, Renato Scarsi, Sene, Ubirajara, Eshkenazy, Rony, Gama-Rodrigues, Joaquim José
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Clinics
DOI: 10.1590/S1807-59322005000200015
Texto Completo: https://www.revistas.usp.br/clinics/article/view/17425
Resumo: Necrotizing fasciitis is a severe and potentially fatal soft tissue infection, but involvement of the head and neck is rare. We report on 4 cases of cervical necrotizing fasciitis arising from tonsillitis. One patient was diabetic and one had received steroids before disease development. One patient developed acute respiratory failure and died of septic shock. Three patients recovered, helped by early recognition, aggressive surgical intervention, appropriate broad-spectrum antibiotics, and supportive therapy. The common bacteria found in all abscess samples were Streptococcus sp., but mixed flora with anaerobic organisms was seen in all but 1 case. Tonsillitis and peritonsillar abscess must be suspected as a cause of cervical necrotizing fasciitis and a successful result can be achieved with immediate aggressive treatment.
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spelling Fasceite necrotizante cervical secundária a amigdalite bacteriana Cervical necrotizing fasciitis due to bacterial tonsillitis Necrotizing fasciitisTonsillitisPeritonsillar abscess Necrotizing fasciitis is a severe and potentially fatal soft tissue infection, but involvement of the head and neck is rare. We report on 4 cases of cervical necrotizing fasciitis arising from tonsillitis. One patient was diabetic and one had received steroids before disease development. One patient developed acute respiratory failure and died of septic shock. Three patients recovered, helped by early recognition, aggressive surgical intervention, appropriate broad-spectrum antibiotics, and supportive therapy. The common bacteria found in all abscess samples were Streptococcus sp., but mixed flora with anaerobic organisms was seen in all but 1 case. Tonsillitis and peritonsillar abscess must be suspected as a cause of cervical necrotizing fasciitis and a successful result can be achieved with immediate aggressive treatment. A fasceite necrotizante cervical é uma infecção grave de partes moles do pescoço. Trata-se de entidade rara, porém quando presente tem como principal origem um foco infeccioso odontogênico. São descritos 4 casos de fasceite necrotizante cervical a partir de tonsilites e abscesso peritonsilar, os quais, foram admitidos e tratados na unidade de terapia intensiva. Um dos pacientes era portador de Diabetes Melittus não insulino- dependente e outro paciente havia recebido corticoterapia antes do desenvolvimento da infecção. Em um dos casos ocorreu mediastinite, insuficiência respiratória e o paciente evolui para o óbito em decorrência de choque séptico. Durante o tratamento, 3 pacientes evoluíram satisfatoriamente devido ao diagnostico precoce, tratamento cirúrgico agressivo e utilização de antibiótico terapia de largo espectro. A bactéria mais comumente encontrada foi o Streptococcus sp, mas flora mista com germes anaeróbios foi encontrada em 3 dos casos descritos. CONCLUSÕES: Deve-se suspeitar de tonsilite e abscesso peritonsilar como causa de fasceite necrotizante cervical para que tratamento agressivo e precoce seja realizado. Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2005-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/1742510.1590/S1807-59322005000200015Clinics; Vol. 60 No. 2 (2005); 177-182 Clinics; v. 60 n. 2 (2005); 177-182 Clinics; Vol. 60 Núm. 2 (2005); 177-182 1980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/17425/19474Zilberstein, BrunoCleva, Roberto deTesta, Renato ScarsiSene, UbirajaraEshkenazy, RonyGama-Rodrigues, Joaquim Joséinfo:eu-repo/semantics/openAccess2012-05-22T17:58:57Zoai:revistas.usp.br:article/17425Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2012-05-22T17:58:57Clinics - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Fasceite necrotizante cervical secundária a amigdalite bacteriana
Cervical necrotizing fasciitis due to bacterial tonsillitis
title Fasceite necrotizante cervical secundária a amigdalite bacteriana
spellingShingle Fasceite necrotizante cervical secundária a amigdalite bacteriana
Fasceite necrotizante cervical secundária a amigdalite bacteriana
Zilberstein, Bruno
Necrotizing fasciitis
Tonsillitis
Peritonsillar abscess
Zilberstein, Bruno
Necrotizing fasciitis
Tonsillitis
Peritonsillar abscess
title_short Fasceite necrotizante cervical secundária a amigdalite bacteriana
title_full Fasceite necrotizante cervical secundária a amigdalite bacteriana
title_fullStr Fasceite necrotizante cervical secundária a amigdalite bacteriana
Fasceite necrotizante cervical secundária a amigdalite bacteriana
title_full_unstemmed Fasceite necrotizante cervical secundária a amigdalite bacteriana
Fasceite necrotizante cervical secundária a amigdalite bacteriana
title_sort Fasceite necrotizante cervical secundária a amigdalite bacteriana
author Zilberstein, Bruno
author_facet Zilberstein, Bruno
Zilberstein, Bruno
Cleva, Roberto de
Testa, Renato Scarsi
Sene, Ubirajara
Eshkenazy, Rony
Gama-Rodrigues, Joaquim José
Cleva, Roberto de
Testa, Renato Scarsi
Sene, Ubirajara
Eshkenazy, Rony
Gama-Rodrigues, Joaquim José
author_role author
author2 Cleva, Roberto de
Testa, Renato Scarsi
Sene, Ubirajara
Eshkenazy, Rony
Gama-Rodrigues, Joaquim José
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Zilberstein, Bruno
Cleva, Roberto de
Testa, Renato Scarsi
Sene, Ubirajara
Eshkenazy, Rony
Gama-Rodrigues, Joaquim José
dc.subject.por.fl_str_mv Necrotizing fasciitis
Tonsillitis
Peritonsillar abscess
topic Necrotizing fasciitis
Tonsillitis
Peritonsillar abscess
description Necrotizing fasciitis is a severe and potentially fatal soft tissue infection, but involvement of the head and neck is rare. We report on 4 cases of cervical necrotizing fasciitis arising from tonsillitis. One patient was diabetic and one had received steroids before disease development. One patient developed acute respiratory failure and died of septic shock. Three patients recovered, helped by early recognition, aggressive surgical intervention, appropriate broad-spectrum antibiotics, and supportive therapy. The common bacteria found in all abscess samples were Streptococcus sp., but mixed flora with anaerobic organisms was seen in all but 1 case. Tonsillitis and peritonsillar abscess must be suspected as a cause of cervical necrotizing fasciitis and a successful result can be achieved with immediate aggressive treatment.
publishDate 2005
dc.date.none.fl_str_mv 2005-04-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/clinics/article/view/17425
10.1590/S1807-59322005000200015
url https://www.revistas.usp.br/clinics/article/view/17425
identifier_str_mv 10.1590/S1807-59322005000200015
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/clinics/article/view/17425/19474
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo
publisher.none.fl_str_mv Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo
dc.source.none.fl_str_mv Clinics; Vol. 60 No. 2 (2005); 177-182
Clinics; v. 60 n. 2 (2005); 177-182
Clinics; Vol. 60 Núm. 2 (2005); 177-182
1980-5322
1807-5932
reponame:Clinics
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Clinics
collection Clinics
repository.name.fl_str_mv Clinics - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||clinics@hc.fm.usp.br
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dc.identifier.doi.none.fl_str_mv 10.1590/S1807-59322005000200015