Necrotizing fasciitis secondary to peritonsillar abscess: a new case and review of eight earlier cases.
Necrotizing fasciitis is a potentially fatal soft-tissue infection that occurs only rarely in the head and neck region. Broad-spectrum parenteral antibiotics and surgical debridement are the mainstays of treatment. Until now, only eight cases of necrotizing fasciitis secondary to peritonsillar abscess have been described in the English-language literature. In this article, we report a new case that occurred in an otherwise healthy 43-year-old woman. In addition to standard treatment, the patient underwent a hot tonsillectomy. After 23 months of follow-up, she is in good health.
Safak
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MA
ENT Clinic, Ministry of Health, Ankara Training and Research Hospital, Ankara, Turkey. masafak@doctor.com
Haberal
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Kiliç
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Göçmen
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D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002981:Clindamycin / Q000627:therapeutic use; D019115:Fasciitis, Necrotizing / Q000209:etiology* / Q000601:surgery; D005260:Female; D016905:Gram-Negative Bacterial Infections / Q000150:complications / Q000188:drug therapy; D016908:Gram-Positive Bacterial Infections / Q000150:complications / Q000188:drug therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009894:Opportunistic Infections / Q000150:complications; D010406:Penicillins / Q000627:therapeutic use; D000039:Peritonsillar Abscess / Q000150:complications*
D000900:Anti-Bacterial Agents; D010406:Penicillins; D002981:Clindamycin