caa a22 4500 388084413 CHVBK 20180307125226.0 cr unu---uuuuu 161130e199908 xx s 000 0 eng 10.1017/S002221510014513X doi S002221510014513X pii (NATIONALLICENCE)cambridge-10.1017/S002221510014513X Necrotizing fasciitis after peritonsillar abscess in an immunocompetent patient [Elektronische Daten] Cervical necrotizing fasciitis (CNF) is a rapidly progressive, severe bacterial infection of the fascial planes of the head and neck. Group A beta haemolytic Streptococcus spp. (GABHS), Staphylococcus spp., or obligatory anaerobic bacteria are the most common causative pathogens. The disease usually results from a dental source or facial trauma. Extensive fascial necrosis and severe systemic toxicity are common manifestations of CNF. Review of the literature reveals only seven such cases, with four successful outcomes. The authors present the case of a 50-year-old immunocompetent female with CNF arising from a peritonsillar abscess. Intravenous immunoglobulins in conjunction with surgery and antibotics were used successfully. The authors also suggest the importance of the early diagnosis, aggressive surgical debridement, broadspectrum antibiotics, and possible usefulness of the intravenous immunoglobulins in the treatment of CNF, especially when the disease is associated with toxic shock syndrome. Copyright © JLO (1984) Limited 1999 Fasciitis, necrotizing nationallicence Immunoglobulins, intravenous nationallicence Skitarelić Neven Department Otolaryngology - Head and Neck Surgery, General Hospital, Zadar, Croatia Mladina Ranko ORL Clinic, University Hospital Šalata, Zagreb, Croatia Matulić Zlatko Department Otolaryngology - Head and Neck Surgery, General Hospital, Zadar, Croatia Kovačić Maruan Department Otolaryngology - Head and Neck Surgery, General Hospital, Zadar, Croatia The Journal of Laryngology & Otology Cambridge University Press 113/8(1999-08), 759-761 0022-2151 113:8<759 1999 113 JLO https://doi.org/10.1017/S002221510014513X text/html Onlinezugriff via DOI 1 other jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S002221510014513X text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Skitarelić Neven Department Otolaryngology - Head and Neck Surgery, General Hospital, Zadar, Croatia NATIONALLICENCE 700 1- Mladina Ranko ORL Clinic, University Hospital Šalata, Zagreb, Croatia NATIONALLICENCE 700 1- Matulić Zlatko Department Otolaryngology - Head and Neck Surgery, General Hospital, Zadar, Croatia NATIONALLICENCE 700 1- Kovačić Maruan Department Otolaryngology - Head and Neck Surgery, General Hospital, Zadar, Croatia NATIONALLICENCE 773 0- The Journal of Laryngology & Otology Cambridge University Press 113/8(1999-08), 759-761 0022-2151 113:8<759 1999 113 JLO CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge