Abstract
Cervico-facial and thoracic cellulitis is a cellular diffusion from an infectious focus to cellulo-adipose tissues.The objective of this work was to review the management of this condition, to describe the descriptive study of the factors favoring it, to describe our experience of cellulite management and to identify the factors favoring it. Prognostic factors.This was a retrospective and descriptive study from October 2015 to March 2016 at the Ccentre Hhospitalier Nianankoro Fomba de Ségou. It involved 09 patients, 05 men for 4 women. The front door was essentially dental. We noticed 02 pregnancy cases associated with cellulite. We observed cervical and thoracic necrosis in 6 cases and cervical swelling in 03 cases. Cervical swelling in 03 cases. (Review title of study)The treatment was medical based on a triple with antibiotic and surgical treatment in all cases. The surgical treatment consisted of debridement - excision of the necrotic tissues and abundant washing with hydrogen peroxide and Dakin with a multiple drainage. Thoracic drainage was performed in 3 patients.The progression was favorable in 7 cases with complete cure and 2 cases of death in a sudden death chart. Mediastinitis.Cervico-facial cellulitis is a serious pathology of the young subject that can be life-threatening in the absence of a fast and adapted and multidisciplinary care
Highlights
La cellulite cervico-faciale est une diffusion cellulaire d’un foyer infectieux vers les tissus cellulo-adipeux
Summary Cervico-facial and thoracic cellulitis is a cellular diffusion from an infectious focus to celluloadipose tissues.The objective of this work was to review the management of this condition, to describe the descriptive study of the factors favoring it, to describe our experience of cellulite management and to identify the factors favoring it
Mediastinitis.Cervico-facial cellulitis is a serious pathology of the young subject that can be life-threatening in the absence of a fast and adapted and multidisciplinary care
Summary
La cellulite cervico-faciale est une diffusion cellulaire d’un foyer infectieux vers les tissus cellulo-adipeux. Elle touche préférentiellement les tissus mous souscutanés de la face et du cou. Elle constitue un problème de santé publique avec une morbi-mortalité élevée. Les populations défavorisées avec une mauvaise hygiène bucco-dentaire sont les plus exposées. Sa prévalence est plus élévée chez les adultes jeunes 16-35ans (81%) de sexe masculin. [6] La porte d’entrée est le plus souvent dentaire, mais aussi pharyngée. Il s’agit d’une affection grave avec une tendance à l’extension rapide et pouvant mettre en jeu le pronostic vital à court et moyen terme. L’infection est en générale polymicrobienne associant des germes aérobies et anaérobies. Cette étude est initiée pour passer en revue la prise en charge de cette affection méconnue auprès des praticiens,décrire notre expérience, et citer les facteurs favorisants
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