Fujiwara Erina, Tsuda Takeshi, Wada Kento, Waki Sadanori, Hanada Yukiko, Nishimura Hiroshi
Department of Otorhinolaryngology, National Hospital Organization Osaka National Hospital, Osaka City, Japan.
Department of Otorhinolaryngology - Head and Neck Surgery, Graduate School of Medicine, Osaka University, Suita City, Japan.
SAGE Open Med Case Rep. 2021 Jun 11;9:2050313X211024505. doi: 10.1177/2050313X211024505. eCollection 2021.
Cervical abscesses develop in the tissue spaces between the cervical fascia. The rapid expansion of these abscesses can lead to fatal outcomes. We describe a case of a deep cervical abscess caused by . He was referred to our department with complaints of sore throat and neck pain. Ultrasonography revealed a hypoechoic area in the cervical interfascicular space. An ultrasound-guided puncture was performed to collect pus for bacteriological examination. Subsequently, a contrast-enhanced computed tomography scan revealed a multi-focal abscess extending from the left mandible to the left side of the neck, without any mediastinal abscess. An emergency drainage and antibacterial therapies were performed, and the patient progressed well. , a gram-positive anaerobic bacterium, was detected in the pus collected before incision, and appropriate antibiotics were immediately administered. The collection of pus prior to incision and drainage aids accurate identification of the causative organism and appropriate treatment.
颈部脓肿发生于颈部筋膜之间的组织间隙。这些脓肿的迅速扩展可导致致命后果。我们描述了一例由……引起的深部颈部脓肿病例。他因咽痛和颈部疼痛被转诊至我科。超声检查显示颈部筋膜间间隙有一个低回声区。进行了超声引导下穿刺以采集脓液进行细菌学检查。随后,增强计算机断层扫描显示一个多灶性脓肿,从左下颌骨延伸至颈部左侧,无任何纵隔脓肿。进行了紧急引流和抗菌治疗,患者病情进展良好。在切开前采集的脓液中检测到……,一种革兰氏阳性厌氧菌,并立即给予了适当的抗生素。在切开引流前采集脓液有助于准确识别病原体并进行适当治疗。