Necrotising fasciitis of the neck: Unusual presentation with aggressive management – case report with review of literature
Tonsillitis and peri-tonsillar abscess are common conditions which account for a large proportion of hospital admissions. They may present in a similar way to supraglottitis and retropharyngeal collection. With adequate antibiotic coverage, admissions for tonsillitis have decreased compared to cases...
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2017-01-01
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Online Access: | http://dx.doi.org/10.1080/23772484.2016.1266636 |
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doaj-5c61c8922af347029c64e6cba086d3112020-11-24T21:13:40ZengTaylor & Francis GroupActa Oto-Laryngologica Case Reports2377-24842017-01-0121111610.1080/23772484.2016.12666361266636Necrotising fasciitis of the neck: Unusual presentation with aggressive management – case report with review of literatureVirangna Taneja0Rachel J. Walker1Miroslav Tedla2University Hospitals Coventry and WarwickshireUniversity Hospitals Coventry and WarwickshireOtorhinolaryngology Department, Warwick University and University Hospital CoventryTonsillitis and peri-tonsillar abscess are common conditions which account for a large proportion of hospital admissions. They may present in a similar way to supraglottitis and retropharyngeal collection. With adequate antibiotic coverage, admissions for tonsillitis have decreased compared to cases admitting with complications. This report shows an unusual presentation of necrotising fasciitis in the neck of a 71-year-old male who presented initially with tonsillitis and later developed into supraglottitis with retro- and parapharyngeal abscess complicated by necrotising fasciitis extending into pleural cavity. The patient required a prolonged stay in the Intensive Care Unit, with airway support including tracheostomy, and underwent repeated surgical drainage followed by sequential debridement (10 times). Radiological investigation and nasopharyngolaryngoscopy plays an important role in contributing to early diagnosis. Agressive debridements and necrotic tissue removal with antibiotic cover are mainstay of treatment.http://dx.doi.org/10.1080/23772484.2016.1266636Necrotising fasciitisretro- and parapharyngeal abscessdebridement |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Virangna Taneja Rachel J. Walker Miroslav Tedla |
spellingShingle |
Virangna Taneja Rachel J. Walker Miroslav Tedla Necrotising fasciitis of the neck: Unusual presentation with aggressive management – case report with review of literature Acta Oto-Laryngologica Case Reports Necrotising fasciitis retro- and parapharyngeal abscess debridement |
author_facet |
Virangna Taneja Rachel J. Walker Miroslav Tedla |
author_sort |
Virangna Taneja |
title |
Necrotising fasciitis of the neck: Unusual presentation with aggressive management – case report with review of literature |
title_short |
Necrotising fasciitis of the neck: Unusual presentation with aggressive management – case report with review of literature |
title_full |
Necrotising fasciitis of the neck: Unusual presentation with aggressive management – case report with review of literature |
title_fullStr |
Necrotising fasciitis of the neck: Unusual presentation with aggressive management – case report with review of literature |
title_full_unstemmed |
Necrotising fasciitis of the neck: Unusual presentation with aggressive management – case report with review of literature |
title_sort |
necrotising fasciitis of the neck: unusual presentation with aggressive management – case report with review of literature |
publisher |
Taylor & Francis Group |
series |
Acta Oto-Laryngologica Case Reports |
issn |
2377-2484 |
publishDate |
2017-01-01 |
description |
Tonsillitis and peri-tonsillar abscess are common conditions which account for a large proportion of hospital admissions. They may present in a similar way to supraglottitis and retropharyngeal collection. With adequate antibiotic coverage, admissions for tonsillitis have decreased compared to cases admitting with complications. This report shows an unusual presentation of necrotising fasciitis in the neck of a 71-year-old male who presented initially with tonsillitis and later developed into supraglottitis with retro- and parapharyngeal abscess complicated by necrotising fasciitis extending into pleural cavity. The patient required a prolonged stay in the Intensive Care Unit, with airway support including tracheostomy, and underwent repeated surgical drainage followed by sequential debridement (10 times). Radiological investigation and nasopharyngolaryngoscopy plays an important role in contributing to early diagnosis. Agressive debridements and necrotic tissue removal with antibiotic cover are mainstay of treatment. |
topic |
Necrotising fasciitis retro- and parapharyngeal abscess debridement |
url |
http://dx.doi.org/10.1080/23772484.2016.1266636 |
work_keys_str_mv |
AT virangnataneja necrotisingfasciitisoftheneckunusualpresentationwithaggressivemanagementcasereportwithreviewofliterature AT racheljwalker necrotisingfasciitisoftheneckunusualpresentationwithaggressivemanagementcasereportwithreviewofliterature AT miroslavtedla necrotisingfasciitisoftheneckunusualpresentationwithaggressivemanagementcasereportwithreviewofliterature |
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1716748418558197760 |