Medical-surgical management and clinical outcome in cervical abscesses

  • Andrea Melis Otolaryngology Division, Department of Medical, Surgical and Experimental sciences, University of Sassari, Sassari, Italy
  • Francesco Riu Otolaryngology Division, Department of Medical, Surgical and Experimental sciences, University of Sassari, Sassari, Italy
  • Caterina Kihlgren Otolaryngology Division, Department of Medical, Surgical and Experimental sciences, University of Sassari, Sassari, Italy
  • Antonio Piras Otolaryngology Division, Department of Medical, Surgical and Experimental sciences, University of Sassari, Sassari, Italy
  • Davide Rizzo Otolaryngology Division, Department of Medical, Surgical and Experimental sciences, University of Sassari, Sassari, Italy
  • Alessandro Sotgiu Otolaryngology Division, Department of Medical, Surgical and Experimental sciences, University of Sassari, Sassari, Italy
  • Matthew Donadu Section of Experimental and Clinical Microbiology, Department of Biomedical Sciences, University of Sassari, Sassari, Italy http://orcid.org/0000-0001-7681-6194
  • Donatella Usai Section of Experimental and Clinical Microbiology, Department of Biomedical Sciences, University of Sassari, Sassari, Italy
  • Stefania Zanetti Section of Experimental and Clinical Microbiology, Department of Biomedical Sciences, University of Sassari, Sassari, Italy
  • Francesco Bussu Otolaryngology Division, Department of Medical, Surgical and Experimental sciences, University of Sassari, Sassari, Italy
Keywords: infection, abscesses, necrotizing fasciitis, therapy antibiotics, surgical treatment

Abstract

Introduction: This study aims at defining through a retrospective evaluation, the clinical parameters affecting the clinical course and consequently the management of patients presenting with cervicofacial abscesses.

Methodology: A total of 394 patients diagnosed with abscess at the University of Sassari Otorhinolaryngology Division between 2009 and 2017 were included; among these, eleven patients were diagnosed with necrotizing fasciitis. Personal and clinical parameters including the LRINEC score and the medical and/or surgical treatment used were analyzed for each patient. The most frequently affected site was the peritonsillar space (76.9%), followed by the parapharyngeal space.

Results: Mean age was 41(±17) years, the male population was slightly overrepresented (68%). An average of 6 (±7) days of hospitalization duration was recorded. The mortality rate was confirmed to be relatively low (1/349 patients) and was reported only in one patient diagnosed with necrotizing fasciitis (1/11).

Conclusion: Diagnosis, correct clinical definition and early medical-surgical treatment of neck abscesses were crucial to reduce complications; LRNEC score, C-reactive protein, glycemia and creatininemia proved to be reliable prognostic indicators of difficult patient management and risk of complications.

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Published
2020-05-31
How to Cite
1.
MelisA, Riu F, Kihlgren C, Piras A, Rizzo D, Sotgiu A, Donadu M, Usai D, Zanetti S, Bussu F (2020) Medical-surgical management and clinical outcome in cervical abscesses. J Infect Dev Ctries 14:527-531. doi: 10.3855/jidc.12191
Section
Original Articles