Cervical necrotizing fasciitis: 8-years' experience of microbiology.
Eur J Clin Microbiol Infect Dis
; 27(8): 691-5, 2008 Aug.
Article
em En
| MEDLINE
| ID: mdl-18317820
ABSTRACT
Cervical necrotizing fasciitis (CNF) is a life-threatening complication of pharyngeal or dental infections. The aim of this paper was to investigate whether dental or pharyngeal source result from different pathogen(s) in CNF and whether antibiotics, given before admission, influence the antimicrobial resistance of pathogens. In 152 CNF patients, Streptococcus milleri group and Prevotella species were the predominant isolates, frequently copathogens, mostly in dental CNF samples. Penicillin and clindamycin resistance were observed in 39% and 37% of cases, respectively, independently of any previous antibiotic therapy. Thus, a combined aerobe-anaerobe infection may have a synergistic effect, which allows the infection to spread in cervical tissues.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Penicilinas
/
Doenças Faríngeas
/
Prevotella
/
Fasciite Necrosante
/
Streptococcus milleri (Grupo)
/
Infecção Focal Dentária
Limite:
Humans
Idioma:
En
Ano de publicação:
2008
Tipo de documento:
Article