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Synergistic necrotizing cellulitis resulting from peri-tonsillar abscess

Published online by Cambridge University Press:  29 June 2007

P. J. Hadfield ,
M. Motamed  and
G. W. Glover
P. J. Hadfield*
Affiliation:
Department of Otolaryngology, Northwick Park Hospital, Harrow, Middlesex, UK.
M. Motamed
Affiliation:
Department of Otolaryngology, Northwick Park Hospital, Harrow, Middlesex, UK.
G. W. Glover
Affiliation:
Department of Otolaryngology, Northwick Park Hospital, Harrow, Middlesex, UK.
*
Address for correspondence: Miss P. J. Hadfield, F.R.C.S., Department of Otolaryngology, Charing Cross Hospital, Fulham Palace Road, London W6 8RF.
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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.

Keywords

Peritonsillar abscessCellulitis, synergistic necrotizingFasciitis, necrotizing
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 9 , September 1996 , pp. 887 - 890
Copyright
Copyright © JLO (1984) Limited 1996

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