Fasceite necrotizante cervical secundária a amigdalite bacteriana
Autor(a) principal: | |
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Data de Publicação: | 2005 |
Outros Autores: | , , , , |
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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Clinics |
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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 |
_version_ |
1822181709923221504 |
dc.identifier.doi.none.fl_str_mv |
10.1590/S1807-59322005000200015 |