1/18. Endovascular occlusion of a carotid pseudoaneurysm complicating deep neck space infection in a child. Case report.Pseudoaneurysm formation of the cervical internal carotid artery (ICA) is a rare, potentially lethal complication of deep neck space infection. This entity typically occurs following otolaryngological or upper respiratory tract infection. The pseudoaneurysm is heralded by a pulsatile neck mass, Homer's syndrome, lower cranial neuropathies, and/or hemorrhage that may be massive. The recommended treatment includes prompt arterial ligation. The authors present a case of pseudoaneurysm of the cervical ICA complicating a deep neck space infection. A parapharyngeal staphylococcus aureus abscess developed in a previously healthy 6-year-old girl after she experienced pharyngitis. The abscess was drained via an intraoral approach. On postoperative Day 3, the patient developed a pulsatile neck mass, lethargy, ipsilateral Horner's syndrome, and hemoptysis, which resulted in hemorrhagic shock. Treatment included emergency endovascular occlusion of the cervical ICA and postembolization antibiotic treatment for 6 weeks. The patient has made an uneventful recovery as of her 18-month follow-up evaluation. Conclusions drawn.from this experience and a review of the literature include the following: 1) mycotic pseudoaneurysms of the carotid arteries have a typical clinical presentation that should enable timely recognition; 2) these lesions occur more commonly in children than in adults; 3) angiography with a view to performing endovascular occlusion should be undertaken promptly; and 4) endovascular occlusion of the pseudoaneurysm is a viable treatment option.- - - - - - - - - - ranking = 1keywords = pharyngitis (Clic here for more details about this article) |
2/18. Lemierre's syndrome: the link between a simple sore throat, sore neck and pleuritic chest pain.An unusual case of tonsillitis which showed progression to this rare syndrome despite treatment with intravenous antibiotics. Lemierre's syndrome is a rare condition characterised by a triad of: sepsis, thrombophlebitis of the internal jugular vein along with pleuropulmonary and/or distant metastatic abscesses. diagnosis rests on a high index of suspicion and is confirmed by culture of fusobacterium spp. from blood or infected sites. Radiological investigations are established aids for confirmation of diagnosis. Treatment is with appropriate antibiotics for at least 6 weeks and surgical drainage of abscesses if required. This case has been presented to highlight the mode of presentation, diagnostic tools employed and the management of the complications that featured in this condition.- - - - - - - - - - ranking = 4.7257974880344keywords = sore throat, throat (Clic here for more details about this article) |
3/18. infection of the neck spaces: a present day complication.Although advances in antibiotic therapy have made adult neck space infections an uncommon event, it is essential to bear them in mind when treating oro-dental and oro-pharyngeal sepsis, as they can often progress with life threatening sequelae. Three cases of neck space infection as a consequence of dental infection, pharyngitis and peritonsillar abscess are presented. The management of a potentially compromised airway is of paramount importance in the immediate treatment of neck space sepsis.- - - - - - - - - - ranking = 1keywords = pharyngitis (Clic here for more details about this article) |
4/18. lemierre syndrome.lemierre syndrome is characterized by pharyngitis followed by fusobacterium necrobacillosis sepsis complicated by internal jugular vein thrombosis and infectious metastatic abscesses. It has been considered to be a rare disease until the last decade when a larger number of cases have been reported.We discuss a case of lemierre syndrome in a 17-year-old girl and review the pathophysiology of fusobacterium necrobacillosis and diagnosis and treatment of lemierre syndrome.- - - - - - - - - - ranking = 1keywords = pharyngitis (Clic here for more details about this article) |
5/18. Unusual complication of an ingested foreign body.Migration of a foreign body from the mouth and throat to the subcutaneous tissue of the neck is very rare. We present a case of a migrating foreign body (a piece of straw) from the floor of the mouth to the neck. To our knowledge, this is the second case reported in the English literature.- - - - - - - - - - ranking = 0.12555253687658keywords = throat (Clic here for more details about this article) |
6/18. Toxic shock syndrome associated with pharyngitis and submandibular space abscess.Toxic shock syndrome continues to be encountered more frequently with the head and neck areas as sources of the toxin. In head and neck surgery practice it is most commonly noted following nasal packing. An unusual case associated with staphylococcal pharyngitis and spontaneous submandibular space abscess is reported and the literature concerning the subject is reviewed. Treatment is eradication of the infective focus, aggressive support of vital functions, and parenteral antistaphylococcal antibiotics.- - - - - - - - - - ranking = 5keywords = pharyngitis (Clic here for more details about this article) |
7/18. retropharyngeal abscess complicating a neck wound (a case report).Non-tuberculous retropharyngeal abscesses in adults are usually secondary to pharyngeal or oesophageal perforation, or sepsis in the throat or sinuses. mediastinitis may follow, and broad-spectrum antibiotics and surgical drainage are required. The management of neck wounds must include adequate radiology where there is a risk of retained foreign body, and careful exploration, under general anaesthetic in many cases, is necessary. In the case reported here, retention of a foreign body in a neck wound led to the development of an unusual retropharyngeal abscess.- - - - - - - - - - ranking = 0.12555253687658keywords = throat (Clic here for more details about this article) |
8/18. Toxic shock syndrome: odontogenic origin.Although the majority of reported cases of toxic shock syndrome (TSS) in the united states continue to be associated with tampon use, TSS also occurs in postpartum women and in patients with pharyngitis, infected surgical wounds, cutaneous and subcutaneous infections, and infections of other body sites. The article presents the case of a 23-year-old black man in whom TSS developed secondary to an odontogenic infection.- - - - - - - - - - ranking = 1keywords = pharyngitis (Clic here for more details about this article) |
9/18. Lingual tonsillitis.Lingual tonsillitis can cause various signs and symptoms including nocturnal or supine cough, constant discomfort in the throat, glossal pain, and otalgia. Most patients with lingual tonsillitis have already had palatine tonsillectomy. A lingual tonsil may be visible only by using a laryngeal mirror. An embedded foreign body can cause recurrent tonsillitis with abscess formation, and life-threatening airway obstruction may result. Aberrant lingual thyroid may be the only functioning thyroid tissue. cryosurgery and the CO2 laser have made lingual tonsillectomy a safe and simple procedure. An abscess of a lingual tonsil should be drained under general anesthesia, and lingual thyroid should be treated conservatively unless it produces obstructive symptoms.- - - - - - - - - - ranking = 0.12555253687658keywords = throat (Clic here for more details about this article) |
10/18. Two isolations of enteric group 69 from human clinical specimens.Enteric Group 69 has previously only been isolated from beef muscle. Two cases of isolations from human clinical specimens are reported on here: One from a throat swab and one from an abscess. In both cases, only EG 69 was cultured. This group has biochemical reactions similar to enterobacter cloacae and Enterobacter sakazakii. EG 69 produces yellow pigment as E. sakazakii but only the former ferments sorbitol and dulcitol. EG 69 utilizes malonate and usually ferments sucrose slowly (3-4 days). EG 69 is distinguished from E. Cloacae by production of yellow pigment, fermentation of dulcitol and usually late fermentation of sucrose. EG 69 was found resistant to ampicillin and carbenicillin and susceptible to cephalothin. The pathogenic potential for man is still questionable, but EG 69 is shown to occur in human clinical specimens.- - - - - - - - - - ranking = 0.12555253687658keywords = throat (Clic here for more details about this article) |
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