Abstract
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.
Highlights
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
Las infecciones profundas del cuello son más frecuentes en diabéticos, el foco de origen suele ser oral o faríngeo, el espacio cervical habitualmente afectado es el parafaríngeo, el microorganismo más frecuentemente aislado es Klebsiella pneumoniae aunque deben ser considerados Streptococcus viridans, Peptostreptococcus, Aspergillus flavus, Actinomyces sp y Streptococcus grupo B
Summary
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. El desarrollo de infecciones urinarias altas o complicaciones de éstas es mucho más frecuente entre los diabéticos[6]. Entre las infecciones que afectan a los pacientes diabéticos destacan por su alta prevalencia y frecuentes complicaciones aquellas que afectan las partes blandas de las extremidades inferiores[14].
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