ro13-9904 and Airway-Obstruction

Topics: Adult; Airway Obstruction; Bronchogenic Cyst; Ceftriaxone; Emergency Service, Hospital; Humans; Male; Radiography; Tomography, X-Ray Computed; Vancomycin

Deep face and neck infections are potentially life threatening if they are not diagnosed in time and then treated quickly. This report describes a case of face and deep neck infection, associated with a semi-impacted and decayed wisdom tooth in a cardiopathic, immunosuppressed patient suffering from, diabetes, hypothyroidism, osteoporosis, breathlessness, chronic bronchitis, with oral, cutaneous and vaginal erythematous lichen, Cushing's Syndrome, penicillin allergy, subjected to past hypophysectomy. The swelling was, first of all, treated in urgency, with an intravenous antibiotic therapy and, immediately afterwards, the phlegmonous infiltration linked to the avulsion of the lower third molar was surgically drained. The patient was then treated with intravenous multiple antibiotics, with the aim of eradicating the predominating bacteria that was encountered in the microbiological culture test. A complete remission of the pathological picture was obtained .

Topics: Aged; Airway Obstruction; Anti-Bacterial Agents; Ceftriaxone; Cellulitis; Combined Modality Therapy; Comorbidity; Emergencies; Face; Female; Humans; Immunocompromised Host; Mediastinitis; Molar, Third; Myositis; Neck; Periodontal Abscess; Streptococcal Infections; Tooth Extraction; Tooth, Impacted

Although uncommon, lesions of Crohn's disease can involve the hypopharynx and lower respiratory tract. We describe a patient with partial airway obstruction secondary to Crohn's disease of the hypopharynx and larynx. This entity should be considered in the differential diagnosis of patients presenting to the Emergency Department with upper airway obstruction.

Topics: Adult; Airway Obstruction; Anti-Inflammatory Agents; Biopsy; Ceftriaxone; Cephalosporins; Combined Modality Therapy; Crohn Disease; Dexamethasone; Diagnosis, Differential; Dyspnea; Emergency Treatment; Humans; Hypopharynx; Laryngeal Diseases; Male; Oxygen Inhalation Therapy; Pharyngeal Diseases

Topics: Airway Obstruction; Anti-Bacterial Agents; Ceftriaxone; Cephalosporins; Clindamycin; Dyspnea; Emergencies; Epiglottis; Epiglottitis; Female; Foreign Bodies; Humans; Infant; Pharynx; Staphylococcal Infections; Staphylococcus aureus