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Serratia marcescens causing cervical necrotizing oropharyngitis.
- Source :
-
International journal of pediatric otorhinolaryngology [Int J Pediatr Otorhinolaryngol] 2009 Mar; Vol. 73 (3), pp. 467-73. Date of Electronic Publication: 2008 Dec 10. - Publication Year :
- 2009
-
Abstract
- 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, 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.
- Subjects :
- Catheterization
Child
Cicatrix therapy
Constriction, Pathologic therapy
Fasciitis, Necrotizing microbiology
Fasciitis, Necrotizing therapy
Humans
Hypopharynx pathology
Male
Nasopharynx pathology
Oropharynx
Pharyngitis pathology
Pharyngitis therapy
Serratia Infections complications
Serratia Infections therapy
Fasciitis, Necrotizing pathology
Neck
Pharyngitis microbiology
Serratia Infections pathology
Serratia marcescens
Subjects
Details
- Language :
- English
- ISSN :
- 1872-8464
- Volume :
- 73
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- International journal of pediatric otorhinolaryngology
- Publication Type :
- Academic Journal
- Accession number :
- 19081644
- Full Text :
- https://doi.org/10.1016/j.ijporl.2008.10.019