[Infectious ENT emergencies].
Extremely serious diseases associated with very poor prognosis, especially in this context of undermedicalization and poverty. The aim of this case study was to determine the etiologies of these emergencies and to discuss their therapeutic management. Retrospective-descriptive study conducted over a 5-year period, a total of 52 clinical records were included. These infections accounted for 0.33% of our consultations. The average age of our patients was 23 years. Young age, inappropriate treatments and some ENT disorders were found to be contributing factors. The reasons for consultation were varied, depending on the site of infection; however, two clinical signs were constant: pain and fever. Adenophlegmon, peritonsillar phlegmon, cellulitis were our main etiologies together with streptococcus and staphylococcus which were the commonest causative bacteria. Empirical antibiotic therapy was used as first-line therapy, in particular third-generation cephalosporin + aminoglycoside + imidazole combination. Clinical course was marked by local and systemic complications. The evolution of diagnostic and therapeutic ENT emergencies management plans still encounters complications due to patient delay in seeking consultation.
Service d'ORL et de Chirurgie Cervico-Faciale du CHU Yalgado Ouédraogo, Burkina Faso.
Moustapha
M
Sereme
Service d'ORL et de Chirurgie Cervico-Faciale du CHU Yalgado Ouédraogo, Burkina Faso.
Souleymane
S
Tarnagda
Service d'Odontostomatologie et de Chirurgie Maxillo-Faciale de CHU Yalgado Ouédraogo, Burkina Faso.
Patrice
P
Guiguimde
Service d'ORL et de Chirurgie Cervico-Faciale du CHU Yalgado Ouédraogo, Burkina Faso.
Yvette Marie Chantal
YM
Gyebre
Service d'ORL et de Chirurgie Cervico-Faciale du CHU Yalgado Ouédraogo, Burkina Faso.
Bertin
B
Ouedraogo
Service d'ORL et de Chirurgie Cervico-Faciale du CHU Yalgado Ouédraogo, Burkina Faso.
Bambara
B
Céline
Service d'ORL et de Chirurgie Cervico-Faciale du CHU Yalgado Ouédraogo, Burkina Faso.
Maimouna
M
Ouattara
Service d'ORL et de Chirurgie Cervico-Faciale du CHU Yalgado Ouédraogo, Burkina Faso.
Kampadilemba
K
Ouoba
D000293:Adolescent; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001424:Bacterial Infections / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology; D002648:Child; D002675:Child, Preschool; D004630:Emergencies; D005260:Female; D006801:Humans; D007223:Infant; D007239:Infections / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology; D008297:Male; D008875:Middle Aged; D010038:Otorhinolaryngologic Diseases / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology; D012189:Retrospective Studies; D055815:Young Adult
D000900:Anti-Bacterial Agents
ENT; Emergencies; infectious; poverty; undermedicalization