Din-Lovinescu Corina, Berg Howard
Otolaryngology Head and Neck Surgery, Saint Barnabas Medical Center, Livingston, New Jersey, USA.
BMJ Case Rep. 2019 Mar 1;12(3):e228172. doi: 10.1136/bcr-2018-228172.
Cervical necrotising fasciitis (NF) is an aggressive polymicrobial infection of the subcutaneous tissues in the head and neck. We present a case of a healthy 19-year-old man who developed cervical and upper mediastinal NF after an initial presentation of infectious mononucleosis (IM). He was treated with broad-spectrum antibiotics in addition to incision and drainage of an anterior neck and upper mediastinal abscess. He progressed favourably after ten days of hospitalisation and was discharged home on intravenous antibiotics. This is a unique case of cervical NF as a sequelae of IM in a previously healthy paediatric patient.
颈部坏死性筋膜炎（NF）是一种侵袭性的头颈部皮下组织多微生物感染。我们报告一例健康的19岁男性病例，该患者在初次表现为传染性单核细胞增多症（IM）后发生了颈部和上纵隔NF。除了对颈部前方和上纵隔脓肿进行切开引流外，还给予了他广谱抗生素治疗。住院十天后他病情好转，并带静脉用抗生素出院回家。这是一例先前健康的儿科患者因IM引发颈部NF后遗症的独特病例。
