title: [The extensive phlegmon of the neck leading to severe complications - a case report].
abstract: Purulent infection of the neck is a serious condition, which can occur at any age and regardless of any factors. It often leads to the serious complications, including death. A case report. The authors present a case of a 56-year-old patient who reported to the emergency department because of the severe neck pain, fever and progressive weakness. Physical examination revealed an extensive inflammation involving skin and subcutaneous tissue surrounding suboccipital area and neck. Palpation of the thyroid gland showed tumor of the left lobe. Due to deteriorating condition, it was decided to admit the patient to the hospital, along with urgent surgery. It was necessary to perform a repeated removal of the necrotic tissues of the nuchal area. Diabetes mellitus type II was diagnosed during hospitalisation. Long and laborious extensive wound care enabled to perform a skin graft and full recovery. The patient was discharged in good general and local condition in the 11th week of the hospitalization.
authors.affiliation: Medical University of Wroclaw, Poland: Student Scientific Group of the Department of General, Gastroenterologic and Endocrine Surgery.
authors.forename: Michał
authors.initials: M
authors.lastname: Kozakiewicz
authors.affiliation: Medical University of Wroclaw, Poland: 2Department of General, Gastroenterologic and Endocrine Surgery.
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Kaliszewski
authors.affiliation: Medical University of Wroclaw, Poland: Student Scientific Group of the Department of General, Gastroenterologic and Endocrine Surgery.
authors.forename: Michał
authors.initials: M
authors.lastname: Lubszczyk
authors.affiliation: Medical University of Wroclaw, Poland: Department of Dermatology, Venerology and Allergology.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Bieniek
authors.affiliation: Medical University of Wroclaw, Poland: Department of General, Gastroenterologic and Endocrine Surgery.
authors.forename: Tadeusz
authors.initials: T
authors.lastname: Łukieńczuk
mesh_terms: D002481:Cellulitis / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D005334:Fever / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D019547:Neck Pain / Q000209:etiology*; D016038:Skin Transplantation; D013964:Thyroid Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery
keywords: diabetes; furuncle; respiratory distress; sepsis