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- Title
Medical-surgical management and clinical outcome in cervical abscesses.
- Authors
Melis, Andrea; Riu, Francesco; Kihlgren, Caterina; Piras, Antonio; Rizzo, Davide; Sotgiu, Alessandro; Donadu, Matthew; Usai, Donatella; Zanetti, Stefania; Bussu, Francesco
- Abstract
Introduction: This study aims at defining through a retrospective evaluation, the clinical parameters affecting the clinical course and consequently the management of patients presenting with cervicofacial abscesses. Methodology: A total of 394 patients diagnosed with abscess at the University of Sassari Otorhinolaryngology Division between 2009 and 2017 were included; among these, eleven patients were diagnosed with necrotizing fasciitis. Personal and clinical parameters including the LRINEC score and the medical and/or surgical treatment used were analyzed for each patient. The most frequently affected site was the peritonsillar space (76.9%), followed by the parapharyngeal space. Results: Mean age was 41(±17) years, the male population was slightly overrepresented (68%). An average of 6 (±7) days of hospitalization duration was recorded. The mortality rate was confirmed to be relatively low (1/349 patients) and was reported only in one patient diagnosed with necrotizing fasciitis (1/11). Conclusion: Diagnosis, correct clinical definition and early medical-surgical treatment of neck abscesses were crucial to reduce complications; LRNEC score, C-reactive protein, glycemia and creatininemia proved to be reliable prognostic indicators of difficult patient management and risk of complications.
- Subjects
UNIVERSITY of Sassari; ABSCESSES; PROBLEM patients; C-reactive protein; NECROTIZING fasciitis; DEFINITIONS; OTOLARYNGOLOGY
- Publication
Journal of Infection in Developing Countries, 2020, Vol 14, Issue 5, p527
- ISSN
2036-6590
- Publication type
Article
- DOI
10.3855/jidc.12191