[Rare complications of soft tissue infections in the head and neck area: deep neck phlegmona, thrombophlebitis and mediastinitis with pericardial effusion].
Cervical phlegmona is a rare occurrence associated with infections of the ENT region. Spreading of the infection can cause thrombophlebitis, mediastinitis and cardiac tamponade. Three recently treated patients are reported who showed serious complications due to harmless primary infections of the oral cavity, oropharynx or throat. The clinical course of the diseases with the sometimes difficult examinations undertaken and the performed treatment are outlined. Computed tomography and radiography of the lung were useful in confirming the diagnosis, establishing that the infection had spread into deep neck spaces and into the mediastinum. Surgical therapy including extensive surgical drainage of the deep neck spaces and of the mediastinum, multiple antibiotic therapy, and intensive care, resulted in survival of the patients.
Klinik und Poliklinik für Hals-, Nasen- und Ohrenkranke, Ludwig-Maximilians-Universität.
R
R
Gutmann
T P
TP
Wustrow
D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000971:Antineoplastic Combined Chemotherapy Protocols; D001424:Bacterial Infections / Q000150:complications* / Q000188:drug therapy; D002481:Cellulitis / Q000188:drug therapy / Q000209:etiology*; D003131:Combined Modality Therapy; D003520:Cyclophosphamide / Q000008:administration & dosage; D003646:Debridement; D004317:Doxorubicin / Q000008:administration & dosage; D005738:Gas Gangrene / Q000150:complications / Q000188:drug therapy; D006801:Humans; D016393:Lymphoma, B-Cell / Q000150:complications / Q000188:drug therapy; D008297:Male; D008480:Mediastinitis / Q000188:drug therapy / Q000209:etiology*; D008875:Middle Aged; D010038:Otorhinolaryngologic Diseases / Q000150:complications* / Q000188:drug therapy; D010039:Otorhinolaryngologic Neoplasms / Q000150:complications / Q000188:drug therapy; D010490:Pericardial Effusion / Q000188:drug therapy / Q000209:etiology*; D011241:Prednisone / Q000008:administration & dosage; D013203:Staphylococcal Infections / Q000150:complications / Q000188:drug therapy; D013924:Thrombophlebitis / Q000188:drug therapy / Q000209:etiology*; D014750:Vincristine / Q000008:administration & dosage
D000900:Anti-Bacterial Agents; D014750:Vincristine; D004317:Doxorubicin; D003520:Cyclophosphamide; D011241:Prednisone
Seltene Komplikationen von Weichteilinfekten im Kopf-Hals-Bereich: Tiefe Halsphlegmone, Thrombophlebitis und Mediastinitis mit Perikarderguss.