Clinical presentation and treatment of melioidosis in the head and neck region

Mahawerawat, Kanokkarn; Kasemsiri, Pornthep

doi:10.1017/s0022215118001391

Cited by 5 publications

(1 citation statement)

References 14 publications

(19 reference statements)

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“…Our data geographical breakdown points towards a strong research interest in PA in eastern Asia, possibly mirroring a higher local incidence of PA. This could be either due to the local distribution of specific pathogens such as B. pseudomallei or to tropical climate as a facilitating factor in the development of PA 23 .…”

Section: Discussionmentioning

confidence: 99%

Treatment for parotid abscess: a systematic review

Saibene

Allevi

Ayad

et al. 2022

Acta Otorhinolaryngol Ital

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SUMMARY A parotid abscess is a dangerous complication of parotitis. In this study, we aimed to define current treatment concepts for parotid abscess, focusing on different management options. The authors performed a PRISMA-compliant systematic review across multiple databases including all original studies published until January 2021 focusing on treatment of parotid abscess. Studies specifying treatment modalities and treatment success rates were included based on abstract and full-text selection. The authors assessed study quality, demographics, success rates, management modalities and adverse events. Among 1,318 citations, 18 studies met our inclusion criteria. Twelve studies relied only on incision and drainage with antibiotic therapy; the remaining 6 compared different treatment modalities (incision and drainage versus exclusive medical therapy or ultrasound-guided drainage). Heterogeneity between studies precluded meta-analysis of data. The review showed that antibiotics remain the mainstay of treatment for parotid abscess. Conversely, the role of incision and drainage, and aspiration should be studied further. The higher rate of complications following incision and drainage suggests a more conservative approach is needed. Incision and drainage remain the main salvage option for conservative treatment failures.

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Section: Discussionmentioning

confidence: 99%

Treatment for parotid abscess: a systematic review

Saibene

Allevi

Ayad

et al. 2022

Acta Otorhinolaryngol Ital

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Clinical characteristics that predict parotid abscess: An observational cohort study

Srivanitchapoom

Yata

2021

Annals of Medicine &Amp; Surgery

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Background We analysed clinical factors that are predictive of a diagnosis of parotid abscess among patients with bacterial parotitis. Material and methods This retrospective study included 64 hospitalised patients who were diagnosed with parotid abscess, or bacterial parotitis. Data on patient demographics, clinical characteristics, and clinical management were collected. Predictive factors for parotid abscess were evaluated using univariate and multivariate analysis. Results There were 25 patients with parotid abscess and 39 with bacterial parotitis. All patients presented with moderate-to-severe disease, required parenteral antibiotics, or had indicators for surgical drainage. Patient profiles and immune status were not significantly associated with parotid abscess. However, parameters that were significantly related to parotid abscess were subacute presentation (approximate 10.4 days) (p value = 0.016), fluctuation (p value < 0.001), and normal (haemoglobin) Hb level >12–13 g/dL (p value = 0.035). Imaging indicated the abscess location, extension and evaluated the complications. Surgical drainage with small skin incision and antibiotic coverage for possible pathogens, in particular Staphylococcus spp. and Streptococcus spp. produced favourable patient outcomes. Complication was identified in 3 cases with included septicaemia and cellulitis of the face and parapharyngeal space. Conclusions Among bacterial parotitis patients, parotid abscess should be considered in whom presented with subacute duration of symptoms, enlarged glands with fluctuation, and non-anaemic problem. Instead of standard skin incision of parotidectomy, small vertical skin incision over a well localised abscess pocket or fluctuated area achieved the good results.

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