Synergistic necrotizing cellulitis resulting from peri-tonsillar abscess

The Journal of Laryngology and Otology
P J HadfieldG W Glover

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.

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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

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