Losanoff J E, Missavage A E
Department of Surgery, MC 5026, Room J517, University of Chicago, 5841 South Maryland Avenue, IL 60637, USA.
Int J Clin Pract. 2005 Dec;59(12):1476-8. doi: 10.1111/j.1742-1241.2005.00591.x.
Necrotizing soft tissue infection (NSTI) of the neck and chest wall resulting from neglected peritonsillar abscess is a relatively rare but highly lethal surgical condition which has received little attention in the literature. The case of a 54-year-old male patient affected by this unusual infection is reported. Our recent experience and literature data suggest that NSTI resulting from peritonsillar abscess is rapidly spreading and life threatening. High index of suspicion, early diagnosis, broad-spectrum antibiotics and aggressive surgical debridement are essential to its successful treatment.
因扁桃体周围脓肿未得到及时治疗而导致的颈部和胸壁坏死性软组织感染（NSTI）是一种相对罕见但极具致死性的外科病症，在文献中很少受到关注。本文报告了一名受这种罕见感染影响的54岁男性患者的病例。我们最近的经验和文献数据表明，由扁桃体周围脓肿引起的NSTI传播迅速且危及生命。高度的怀疑指数、早期诊断、广谱抗生素治疗以及积极的手术清创对于其成功治疗至关重要。
