Treatment Of Cervical Necrotizing Fasciitis, Complicated By Mediastinitis, On Patient With Hypoergic Immune Response

Authors

  • V. G. Suleimanova M. Pyrohov Vinnytsia National Medical University
  • V. O. Shaprynskyi M. Pyrohov Vinnytsia National Medical University
  • V. F. Kryvetsky M. Pyrohov Vinnytsia National Medical University
  • N. Z. Nageeb M. Pyrohov Vinnytsia National Medical University
  • Т. А. Hmelevska M. Pyrohov Vinnytsia Regional Clinical Hospital

DOI:

https://doi.org/10.11603/2414-4533.2017.1.6731

Keywords:

cervical necrotizing fasciitis, mediastinitis, cervicotomy.

Abstract

The aim of the work – to describe the correct method of treatment of patients with putrefactive neck abscess complicated with mediastinitis on example of case of successful treatment of the patient with complicated cervical necrotizing fasciitis and hypoergic immune response.

Necrotizing fasciitis of the neck complicated by mediastinitis is uncommon disease with high mortality rate (40–85 %). The article presents the successful

treatment of patient with progressive cervical necrotizing fasciitis and hypoergic immune response. He suffered from rheumatoid arthritis and took

glucocorticosteroids for a long time. Early surgical intervention with maximally wide opening and drainage of all damaged cellular spaces and adequate antibiotic coverage is only true treatment method.

Author Biographies

V. G. Suleimanova, M. Pyrohov Vinnytsia National Medical University

Master of Medicine, Assistant Professor Department of Surgery №1 Medical Faculty №1 Vinnitsa National Medical University. E. Pirogov

V. O. Shaprynskyi, M. Pyrohov Vinnytsia National Medical University

MD, Professor, Head of the Medical Faculty surgery №1

V. F. Kryvetsky, M. Pyrohov Vinnytsia National Medical University

PhD, Associate Professor of Surgery №1 Medical Faculty №1 Vinnitsa National Medical University.

N. Z. Nageeb, M. Pyrohov Vinnytsia National Medical University

Clinical ordinator Department of Surgery №1 Medical Faculty №1

Т. А. Hmelevska, M. Pyrohov Vinnytsia Regional Clinical Hospital

physician therapist thoracic surgery department of the Vinnytsia Regional Clinical Hospital. E. Pirogov

References

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Lee, J.W., Immerman, S.B., & Morris, L.G. (2010). Techniques for early diagnosis and management of cervicofacial necrotising fasciitis. The Journal of Laryngology & Otology, 7, 759-764.

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Published

2017-06-19

How to Cite

Suleimanova, V. G., Shaprynskyi, V. O., Kryvetsky, V. F., Nageeb, N. Z., & Hmelevska Т. А. (2017). Treatment Of Cervical Necrotizing Fasciitis, Complicated By Mediastinitis, On Patient With Hypoergic Immune Response. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (1), 101–105. https://doi.org/10.11603/2414-4533.2017.1.6731

Issue

No. 1 (2017)

Section

REPORTS

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