[Gas producing anaerobic infection of the neck].
In this article, we report on two cases of gas-forming necrotising fasciitis of the neck admitted to our university hospital. In both patients, large gas-forming abscesses were detected by CT scan. Microbiologic smears revealed a mixed flora of aerobic and anaerobic bacteria, predominantly anaerobic streptococci. Emergency surgery with debridement and drainage, appropriate antibiotic therapy, and intensive care were performed. One 58-year-old patient with no concommittent disease recovered well after fourteen days. The other 71-year-old patient with diabetes mellitus and renal insufficiency died despite adequate therapy as a result of metabolic disturbances.
Mohadjer
C
C
Hals-, Nasen- und Ohrenklinik, Ruprecht-Karls-Universität, Heidelberg.
Argat
M
M
Maier
H
H
Weidauer
H
H
D000038:Abscess / Q000175:diagnosis / Q000601:surgery*; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D003131:Combined Modality Therapy; D005208:Fasciitis / Q000175:diagnosis / Q000601:surgery*; D017809:Fatal Outcome; D005740:Gases; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D000039:Peritonsillar Abscess / Q000175:diagnosis / Q000601:surgery*; D013290:Streptococcal Infections / Q000175:diagnosis / Q000601:surgery*; D013364:Submandibular Gland Diseases / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D005740:Gases