Infección profunda del cuello por Streptococcus grupo B en un paciente diabético: Caso clínico

• Jorge Sapunar Z ^[1] ; Alvaro Cabello V ^[2] ; Emilio Godoy R ^[2]
  1. [1] Universidad de La Frontera

     Universidad de La Frontera

     Temuco, Chile

     
  2. [2] Clínica Alemana de Temuco
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 136, Nº. 3, 2008, págs. 351-355
• Idioma: español
• Títulos paralelos:
  • Retropharyngeal phlegmon caused by a group B Streptococcus in a diabetic patient: Report of one case
• Enlaces
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• Resumen

  • We report a 47 year-old diabetic male, admitted due to metabolic decompensation, malaise, purulent pharyngeal discharge and a mass in the posterior cervical region. Blood glucose was 270 mg/dl, a nasopharyngoscopy showed a pharyngeal phlegmon and CT scan confirmed the presence of a phlegmon in the retropharyngeal region. He was treated with sodium penicillin, cloxacillin and ceftriazone and the phlegmon was drained surgically. The culture of the purulent discharge gave growth to a Group B Streptococcus. The evolution was favorable and the patient completed seven days with intravenous antimicrobials and additional seven days with oral ampicillin/sulbactam