Citrobacter freundii causing pharyngitis and secondary retropharyngeal abscess with intrathoracic extension to the diaphragm: minimally invasive management of a rare case.
J Laryngol Otol
; 124(5): e4, 2010 May.
Article
in En
| MEDLINE
| ID: mdl-20307359
ABSTRACT
INTRODUCTION:
Citrobacter freundii is a rare but potentially aggressive cause of pharyngitis which may progress to retropharyngeal abscess with diaphragmatic extension.OBJECTIVE:
To raise awareness of (1) citrobacter as a potential cause of head and neck infection, including retropharyngeal abscess; (2) a novel surgical approach to draining such an abscess; and (3) citrobacter's particular biological properties which may affect the clinical course.METHOD:
Case report.RESULTS:
The abscess was drained via a minimally invasive posterior pharyngeal wall incision and placement of a suction catheter into the mediastinum through this incision. Residual intrathoracic collections were drained by the cardiothoracic team via percutaneous aspiration. The patient made a full recovery.CONCLUSION:
Early recognition of citrobacter head and neck infections, an awareness of the peculiarities of the clinical course of such infections, and timely surgical intervention can prevent catastrophic outcomes. A minimally invasive approach to mediastinal collections can be considered as a viable alternative to open thoracotomy, which carries a high morbidity rate.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pharyngitis
/
Citrobacter freundii
/
Retropharyngeal Abscess
/
Enterobacteriaceae Infections
Limits:
Aged
/
Female
/
Humans
Language:
En
Journal:
J Laryngol Otol
Journal subject:
OTORRINOLARINGOLOGIA
Year:
2010
Document type:
Article