Management of Head and Neck Cellulitis in a Patient Immunocompetent

Abstract

Head and neck cellulitis are severe infections, sometimes necrotizing, whose diagnosis is difficult at an early stage. We report the clinical observation of a 60-year-old patient who presented to the emergency room for a right laterocervical swelling associated with a deterioration in general condition. The head and neck CT scan revealed abscessed right cervical cellulitis. The patient underwent drainage and debridement in the operating room with wide necrosectomy and placement of a Delbet blade, associated with dual antibiotic therapy. The evolution was marked by an improvement in the patient's clinical condition. The aim of this work was to highlight the importance of emergency medical-surgical care, without forgetting the treatment of the portal of entry. The progression in the absence of treatment is towards sometimes fatal complications. The prognosis of these infections depends on the precocity of the treatment, its initial quality and the terrain.