title: [Cervical abscess by Streptococcus anginosus-milleri after foreign body ingestion and suspicion of esophageal perforation].
abstract: 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.
authors.affiliation: Complejo Hospitalario Infanta CRISTINA, Badajoz. vicentepinorivero@terra.co
authors.forename: V
authors.initials: V
authors.lastname: Pino Rivero
authors.forename: G
authors.initials: G
authors.lastname: Trinidad Ramos
authors.forename: A
authors.initials: A
authors.lastname: González Palomino
authors.forename: C G
authors.initials: CG
authors.lastname: Pantoja Hernández
authors.forename: T
authors.initials: T
authors.lastname: Mogollón Cano-Cortés
authors.forename: F
authors.initials: F
authors.lastname: Carrasco Claver
authors.forename: M
authors.initials: M
authors.lastname: Guerra Camacho
authors.forename: A
authors.initials: A
authors.lastname: Blasco Huelva
mesh_terms: 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