[Severe regional and distant complication of tonsillitis. Case report].
The authors describe a 66-year-old male patient treated for angina that was complicated by para- and retropharyngeal phlegmon, mediastinitis and pleuropneumonia. The role of imaging procedures and bacteriological examination was found especially important in establishing the diagnosis and introducing the right treatment. Efficacy of external (transcutaneus) approach to the para- and retropharyngeal space and phlegmon drainage of these spaces preceded with tracheotomy and tonsillectomy was underlined. Surgical treatment was supplemented with multi-component antibiotic therapy and gammaglobulin administration.
Skorek
Andrzej
A
Katedra i Klinika Chorób Uszu, Nosa, Gardła i Krtani AM, Gdańsku.
Stodulski
Dominik
D
Stankiewicz
Czesław
C
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D006801:Humans; D007710:Klebsiella Infections / Q000188:drug therapy / Q000382:microbiology; D007711:Klebsiella pneumoniae / Q000302:isolation & purification; D008297:Male; D008480:Mediastinitis / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D011001:Pleuropneumonia / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D017703:Retropharyngeal Abscess / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D014068:Tonsillectomy; D014069:Tonsillitis / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D014140:Tracheotomy; D005719:gamma-Globulins / Q000627:therapeutic use
D000900:Anti-Bacterial Agents; D005719:gamma-Globulins