[Cervical abscess by Streptococcus anginosus-milleri after foreign body ingestion and suspicion of esophageal perforation].
We report a case of cervical abscess after the ingestion of foreign body (chicken bone) secondary to probable esophageal perforation that it was sent to us with suspicion of mediastinal complication. The girl, 17 years-old, nothing else to arrive our hospitalary center required entrance in ICU due to her severe clinical process: High fever, intense neck-thoracic pain, laterocervical diffuse and progressive left inflammation and bad general state. The CT showed the presence of a well defined abscess and abundant aerial component that dissected the cervical muscles that made necessary to perform drainage verifying intraoperatively no mediastinal involvement. The culture of the purulent collection revealed Streptococcus anginosus/milleri resistant to clindamicine but sensible to penicilina and derivatives. We exposed a serie of considerations at respect of such microorganism and its clinical signification.
Pino Rivero
V
V
Complejo Hospitalario Infanta CRISTINA, Badajoz. vicentepinorivero@terra.co
Trinidad Ramos
G
G
González Palomino
A
A
Pantoja Hernández
C G
CG
Mogollón Cano-Cortés
T
T
Carrasco Claver
F
F
Guerra Camacho
M
M
Blasco Huelva
A
A
D000038:Abscess / Q000209:etiology*; D000293:Adolescent; D004939:Esophageal Perforation / Q000209:etiology*; D005260:Female; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D009333:Neck; D013290:Streptococcal Infections / Q000209:etiology*; D034366:Streptococcus anginosus