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在新冠疫情期间,我们如何处理贝佐尔德脓肿急症?采用头孢曲松和甲硝唑盲目治疗以避免感染扩散。

How can we manage Bezold abscess emergency in COVID-19 pandemic? Blind ceftriaxone and metronidazole treatment to avoid infection spread.

作者信息

Scarpa Alfonso, Di Stadio Arianna, De Luca Pietro, Calvanese Matteo, Viola Pasquale, Tassone Domenico, de Campora Luca, Simone Matteo, Ricci Giampietro, Messineo Daniela, Ralli Massimo, Cassandro Claudia

机构信息

Department of Medicine, Surgery and Dentistry, University of Salerno, Salerno, Italy.

Department of Otolaryngology, University of Perugia, Perugia, Italy.

出版信息

J Surg Case Rep. 2021 Oct 26;2021(10):rjab493. doi: 10.1093/jscr/rjab493. eCollection 2021 Oct.

DOI:10.1093/jscr/rjab493
PMID:34729176
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8557341/
Abstract

Bezold abscess (BA) can be a rare complication of different forms of otitis media. We describe a rare case of BA determined by . Because of COVID-19 restriction, the surgery had to be delayed up to the swab results. To avoid infection spread, the patient was treated by blind antibiotic treatment until the surgical drainage of mastoid and neck. Thanks to the treatment with broad-spectrum antibiotics, the progression and the spread of the infection during COVID-19 investigation was avoided. Delayed surgery could expose the patient to the risk of severe brain infection caused by the .

摘要

贝佐尔德脓肿(BA)可能是不同类型中耳炎的一种罕见并发症。我们描述了一例由……确定的罕见BA病例。由于新冠疫情限制,手术不得不推迟到拭子检测结果出来。为避免感染扩散,在进行乳突和颈部手术引流之前,对患者进行了经验性抗生素治疗。多亏了使用广谱抗生素治疗,在新冠疫情调查期间避免了感染的进展和扩散。延迟手术可能使患者面临由……引起的严重脑部感染风险。

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本文引用的文献

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Thorax necrotizing fasciitis following Bezold's abscess.贝佐尔德脓肿后发生的胸部坏死性筋膜炎。
Clin Case Rep. 2020 Sep 7;8(12):2848-2851. doi: 10.1002/ccr3.3273. eCollection 2020 Dec.
2
A Rare Case of Primary Tuberculous Otitis Media with Bezold's Abscess.原发性结核性中耳炎伴贝佐尔德脓肿1例罕见病例。
Indian J Otolaryngol Head Neck Surg. 2019 Nov;71(Suppl 2):1462-1466. doi: 10.1007/s12070-018-1554-6. Epub 2018 Dec 8.
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Bezold's abscess: A rare complication of suppurative mastoiditis.贝佐尔德脓肿:化脓性乳突炎的一种罕见并发症。
IDCases. 2019 Apr 17;17:e00538. doi: 10.1016/j.idcr.2019.e00538. eCollection 2019.
4
Acute Mastoiditis Complicated with Concomitant Bezold's Abscess and Lateral Sinus Thrombosis.急性乳突炎并发贝佐尔德脓肿和外侧窦血栓形成。
Case Rep Otolaryngol. 2018 Mar 20;2018:8702532. doi: 10.1155/2018/8702532. eCollection 2018.
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Bezold's abscess: A rare complication of acute otitis media.贝佐尔德脓肿:急性中耳炎的一种罕见并发症。
Malays Fam Physician. 2017 Aug 31;12(2):26-28. eCollection 2017.
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Prevalence of antimicrobial resistant Escherichia coli from patients with suspected urinary tract infection in primary care, Denmark.丹麦初级保健中疑似尿路感染患者的耐抗菌药物大肠杆菌患病率。
BMC Infect Dis. 2017 Oct 10;17(1):670. doi: 10.1186/s12879-017-2785-y.
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Laryngoscope. 1998 Jun;108(6):822-8. doi: 10.1097/00005537-199806000-00009.
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