Serratia marcescens causing cervical necrotizing oropharyngitis

被引：8
作者：
Statham, Melissa M. [1 ]
Vohra, Amit [2 ,4 ]
Mehta, Deepak K. [3 ]
Baker, Troy [4 ]
Sarlay, Robert [5 ]
Rutter, Michael J. [1 ,6 ]
机构：
[1] Univ Cincinnati, Sch Med, Dept Otolaryngol Head & Neck Surg, Cincinnati, OH 45267 USA
[2] Childrens Med Ctr, Dayton Div Crit Care Med, Dayton, OH 45404 USA
[3] Childrens Hosp Pittsburgh, UPMC, Dept Otolaryngol, Pittsburgh, PA 15213 USA
[4] Wright State Univ, Boonshoft Sch Med, Dept Pediat, Dayton, OH 45435 USA
[5] Wright State Univ, Boonshoft Sch Med, Dept Emergency Med, Kettering, OH 45429 USA
[6] Childrens Hosp, Med Ctr, Dept Pediat Otolaryngol Head & Neck Surg, Cincinnati, OH 45229 USA
来源：
INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY | 2009年 / 73卷 / 03期
关键词：
Necrotizing fasciitis; Necrotizing oropharyngitis; Serratia marcescens; Necrotizing pharyngitis; Necrotizing cervical fasciitis; Serratia marcescens pharyngitis; Serratia marcescens necrotizing fasciitis; Serratia marcescens cervical necrotizing fasciitis; Cervical necrotizing fasciitis; HYPOPHARYNGEAL STENOSIS; FASCIITIS; DILATATION; ESOPHAGEAL; STRICTURES; RETROGRADE; MANAGEMENT;
D O I：
10.1016/j.ijporl.2008.10.019
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Necrotizing fasciitis is a rare, life-threatening infection. We report a case of necrotizing oropharyngitis caused by Serratia marcescens in a previously immunocompetent 6-year-old male. This necrotizing infection led to a near-total defect of the oropharynx. The wound was managed with daily wound debridement of the patient's oropharynx with 3% hydrogen peroxide, carotid artery coverage with Kaltostat(TM), and pharyngeal packing with iodoform ribbon gauze. Our patient's resultant nasopharyngeal and hypopharyngeal stenoses present challenges for restoration of form and function for voicing and deglutition. We present our experience of managing this child's hypopharyngeal stenosis with a minimally invasive double-balloon dilatation technique. (C) 2008 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码：467 / 473
页数：7
相关论文
共 15 条
  • [1] Necrotizing fasciitis due to Serratia marcescens
    Bachmeyer, C
    Sanguina, M
    Turc, Y
    Reynaert, G
    Blum, L
    [J]. CLINICAL AND EXPERIMENTAL DERMATOLOGY, 2004, 29 (06) : 673 - 674
  • [2] Cervical necrotizing fasciitis: An unusual complication of genuine peritonsillar abscess
    Boninsegna, M
    Marioni, G
    Stramare, R
    Bottin, R
    Tesei, J
    de Filippis, C
    Staffieri, A
    [J]. JOURNAL OF OTOLARYNGOLOGY, 2005, 34 (04) : 258 - 261
  • [3] CLINICAL AND MICROBIOLOGICAL FEATURES OF NECROTIZING FASCIITIS
    BROOK, I
    FRAZIER, EH
    [J]. JOURNAL OF CLINICAL MICROBIOLOGY, 1995, 33 (09) : 2382 - 2387
  • [4] Curtis CE, 2005, AM SURGEON, V71, P228
  • [5] SURGICAL TREATMENT OF HYPOPHARYNGEAL STENOSIS IN CHILDREN
    HAMAKER, RC
    CONLEY, J
    [J]. LARYNGOSCOPE, 1979, 89 (10) : 1593 - 1599
  • [6] Huang JW, 1999, J FORMOS MED ASSOC, V98, P851
  • [7] Community-acquired necrotizing fasciitis caused by Serratia marcescens: Case report and review
    Liangpunsakul S.
    Pursell K.J.
    [J]. European Journal of Clinical Microbiology and Infectious Diseases, 2001, 20 (7) : 509 - 510
  • [8] CERVICAL NECROTIZING FASCIITIS - CLINICAL MANIFESTATIONS AND MANAGEMENT
    MATHIEU, D
    NEVIERE, R
    TEILLON, C
    CHAGNON, JL
    LEBLEU, N
    WATTEL, F
    [J]. CLINICAL INFECTIOUS DISEASES, 1995, 21 (01) : 51 - 56
  • [9] MCCONNEL FMS, 1984, LARYNGOSCOPE, V94, P1162
  • [10] Cervical necrotizing fasciitis caused by Serratia marcescens in a 2 year old
    Newton, CL
    deLemos, D
    Abramo, TJ
    Murrey, A
    Noell, C
    [J]. PEDIATRIC EMERGENCY CARE, 2002, 18 (06) : 433 - 435
12