Severe parapharyngeal abscess that developed significant complications: management during the COVID-19 pandemic.
BMJ Case Rep
; 13(12)2020 Dec 22.
Artículo
en Inglés
| MEDLINE | ID: covidwho-999234
ABSTRACT
A 50-year-old Caucasian man presented to the emergency department during the early stages of the COVID-19 pandemic with a rapidly progressive facial swelling, fever, malaise and myalgia. The patient had recently travelled to a COVID-19-prevalent European country and was therefore treated as COVID-19 suspect. The day before, the patient sustained a burn to his left forearm after falling unconscious next to a radiator. A CT neck and thorax showed a parapharyngeal abscess, which was surgically drained, and the patient was discharged following an intensive care admission. He then developed mediastinitis 3 weeks post-discharge which required readmission and transfer to a cardiothoracic unit for surgical drainage. This report discusses the evolution of a deep neck space infection into a mediastinitis, a rare and life-threatening complication, despite early surgical drainage. This report also highlights the difficulties faced with managing patients during the COVID-19 pandemic.
Palabras clave
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
/
Manejo de Atención al Paciente
/
Drenaje
/
Absceso Retrofaríngeo
/
Procedimientos Quirúrgicos Torácicos
/
COVID-19
/
Tratamiento Farmacológico de COVID-19
/
Mediastinitis
Tipo de estudio:
Reporte de caso
/
Estudios diagnósticos
/
Estudio observacional
/
Estudio pronóstico
Tópicos:
Covid persistente
Límite:
Humanos
/
Masculino
/
Middle aged
Idioma:
Inglés
Año:
2020
Tipo del documento:
Artículo
País de afiliación:
Bcr-2020-236449
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