Cellulites cervicales extensives et médiastinite descendante nécrosante

Righini, Christian; Motto, E.; Ferretti, G.; Boubagra, K.; Soriano, E.; Reyt, É.

doi:10.1016/j.aorl.2007.02.001

Cited by 12 publications

(13 citation statements)

References 22 publications

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“…The mediastinitis, sepsis and pneumonia complications frequently encountered in our series, have also been reported by several authors [4]- [6]. They should be raised before a frank infectious syndrome, dyspnea, or the appearance of snow diffuse subcutaneous crepitus cervicothoracic, signing the gangrenous form of cervicalmediastinal rapid expansion.…”

Section: Discussionsupporting

confidence: 81%

“…The dental front door was the most frequent in our series and by several authors [2] [8]. This high incidence is related to poor oral hygiene [2] [6].…”

Section: Discussionsupporting

confidence: 49%

“…Several authors [4]- [6] in their series have found that the most frequent complications were constituted by mediastinitis, sepsis and pneumonia. The mediastinitis is potentially the most deadly.…”

Section: Introductionmentioning

confidence: 99%

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Complications of Cervicofacial Cellulitis Supported in University Hospital Yalgado Ouedraogo

Gyébré¹,

Gouéta²,

Zaghre³

et al. 2016

IJOHNS

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Introduction: The complications of cervicofacial cellulitis are one of the most serious emergencies Oto-Rhino-Laryngology (ORL). These complications are still observed in our context despite the advent of antibiotics. The aim of our study was to describe the clinical presentation and management of patients admitted to our institution for complications of cervicofacial cellulitis. Patients and Methods: It came from a retrospective study in the ORL service, a department of Yalgado Ouédraogo Hospital of Ouagadougou, between January 2005 and December 2014, during which all patients with cervicofacial cellulitis complications were identified. Results: We collected over 10 years, 69 cases of complicated cellulitis, a frequency of 54.3% of cervicofacial cellulitis and 2.3% of all hospitalizations. The group included 33% women and 67% men to 29 years of average age. The non-steroidal anti-inflammatory isolated was the main factor contributing 59.4%. The front door was mainly dental 43.5% and pharyngeal 36.2%. The most frequent complications were mediastinitis thoracic dissemination 24.6%, sepsis 21.7% and spontaneous fistula 20.3% with orostome or pharyngostome. Medico-surgical treatment was associated with a reanimation in most cases. The outcome was favorable in 79.7% of cases. Mortality was 17.4%. Conclusion: The complications of cervicofacial cellulitis are frequent and often life-threatening. Their management is done in a multidisciplinary framework. The prevention and early treatment remain the pledge of their control.

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Section: Discussionsupporting

confidence: 81%

“…The dental front door was the most frequent in our series and by several authors [2] [8]. This high incidence is related to poor oral hygiene [2] [6].…”

Section: Discussionsupporting

confidence: 49%

See 1 more Smart Citation

Complications of Cervicofacial Cellulitis Supported in University Hospital Yalgado Ouedraogo

Gyébré¹,

Gouéta²,

Zaghre³

et al. 2016

IJOHNS

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“…The same observation was made by several other authors [2][3][4]. Poor hygiene has also been linked to a lack of education, and this study population is indeed made up mainly of farmers and housewives.…”

Section: Susceptibility Of the Isolated Bacteria N (%)supporting

confidence: 65%

Occurrence and Antibiotic Susceptibility of Aerococcus and Enterococcus Strains Isolated from Acute and Chronic Cellulites of Dental Origin in Ouagadougou, Burkina Faso

WAD¹,

Konaté²,

Dembélé³

et al. 2016

Journal of Dentistry and Oral Care Medicine

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Cellulites of dental origin are extensive polymicrobial infections of the face and neck cell-adipose tissues. Management of infections of this nature presents significant challenges. The key to this is the identification of the causative organisms and determination of their susceptibility to antibiotics. Enterococcus and Aerococcus are pathogenic and opportunistic bacteria. Despite their low virulence, these microorganisms are responsible for many human infections. A major problem with these bacteria is their frequent multidrug resistance. The lack of data on these bacterial strains involved in the cellulite in Burkina Faso thus justifies the choice of Enterococcus and Aerococcus. This study was therefore undertaken to determine bacterial etiologies and antibiotic resistance profiles associated with cellulites cases in Ouagadougou, Burkina Faso. A total of 62 samples from patients were analyzed. The isolates were obtained using conventional microbiology procedures. Strains were identified by using API 20 Strep (bioMérieux, France). Antibiotic susceptibility and detection of extended spectrum β-lactamases (ESBLs) were performed according to the European Committee of Antimicrobial Susceptibility Testing (EUCAST). The patients were 41.9% males and 58.1% females. Aerococcus was isolated from 30 patients and Enterococcus from 7. Aerococcus strains were resistant to metronidazole (100%), cefixim (93.3%), trimethoprim-sulfamethoxazole (86.7 %), oxacillin (83.3%), penicillin G (83.3%), cefotaxime (80%), chloramphenicol (80%), cefuroxime (76.7%) and to ceftriaxone (76.7%). Enterococcus strains were resistant to metronidazole (100%), cefixim (100%), cefotaxim (100%), ceftriaxone (100%), cefuroxime (100%), trimethoprim-sulfamethoxazole (100%), penicillin G (100%), oxacillin (100%) and to amoxicillin (100%). Only one Aerococcus viridans strain was positive for ESBL production (2.7%). The emergence of resistance among the bacterial strains that have been implicated in odontogenic infections is a public health issue in Burkina Faso that warrants a significant degree of concern.

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“…An association between cellulitis complicated by odontogenic mediastinitis and NSAID use was reported in several other studies [3][4][5][6][7][8][9].…”

Section: Discussionmentioning

confidence: 85%

Cervicofacial cellulitis: The impact of non-steroidal anti-inflammatory drugs. A study of 70 cases

Bennani-Baïti¹,

Benbouzid²,

Essakalli-Hossyni

2015

European Annals of Otorhinolaryngology, Head and Neck Diseases

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Cellulites cervicales extensives et médiastinite descendante nécrosante

Cited by 12 publications

References 22 publications

Complications of Cervicofacial Cellulitis Supported in University Hospital Yalgado Ouedraogo

Complications of Cervicofacial Cellulitis Supported in University Hospital Yalgado Ouedraogo

Occurrence and Antibiotic Susceptibility of Aerococcus and Enterococcus Strains Isolated from Acute and Chronic Cellulites of Dental Origin in Ouagadougou, Burkina Faso

Cervicofacial cellulitis: The impact of non-steroidal anti-inflammatory drugs. A study of 70 cases

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