Abstract
This case demonstrates the rare but potentially fatal condition of synergistic necrotizing cellulitis of the head and neck. Although similar to necrotizing fasciitis, this is more extreme as it also destroys muscle. Peri-tonsillar abscess is a recognized cause, but has not previously been described in this country, however it is a condition commonly referred to otolaryngologists and awareness of the complication of synergistic necrotizing cellulitis is necessary to allow early recognition and prompt treatment. This should be by broad-spectrum intravenous antibiotics with extensive surgical debridement and drainage procedures repeated as necessary. Although this case had a successful outcome, many patients do not survive, particularly if treatment is delayed or inadequate.
References
May 1, 1978·American Journal of Surgery·J D Khandekar, W D DeWys
Aug 1, 1992·Clinical Otolaryngology and Allied Sciences·S R WilliamsA P Brightwell
Apr 1, 1992·The British Journal of Oral & Maxillofacial Surgery·M C Gaukroger
Nov 1, 1991·Head & Neck·A K Lalwani, M J Kaplan
Jan 1, 1991·Social Science & Medicine·O Gilbar
Jan 1, 1991·Ophthalmology·J W Kronish, W M McLeish
Apr 1, 1991·The British Journal of Surgery·R G Ward, M S Walsh
Jun 1, 1991·The Laryngoscope·F ToviH J Zirkin
Jun 1, 1988·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·R J BalcerakR C Bosack
May 1, 1972·Annals of Surgery·H H Stone, J D Martin
Jun 1, 1984·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·E M SpankusR H Miller
Dec 1, 1984·The Laryngoscope·B L WenigA L Abramson
Jul 1, 1981·The Laryngoscope·P I Wills, R P Vernon
Oct 1, 1994·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·M YamaokaK Yasuda
Feb 1, 1995·The Annals of Otology, Rhinology, and Laryngology·J H GreinwaldP G Haggerty
Feb 1, 1995·The Annals of Otology, Rhinology, and Laryngology·D M KaplanA Leiberman
Jul 1, 1994·The Laryngoscope·R H Maisel, R Karlen
Citations
Dec 15, 2005·International Journal of Clinical Practice·J E Losanoff, A E Missavage
May 24, 2013·International Journal of Biometeorology·Dmitry ShaposhnikovElena Naumova
Aug 1, 2020·Annals of Clinical Microbiology and Antimicrobials·Tejs Ehlers KlugMalene Hentze