Cervical necrotizing fasciitis and descending necrotizing mediastinis in a patient affected by neglected peritonsillar abscess: a case of medical negligence

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Abstract

We report a case of fatal cervical necrotizing fasciitis (CNF) and descending necrotizing mediastinitis (DNM) due to primary peritonsillar abscess in 60-year-old male patient with no history or evidence of immunocompromising disorders. The patient was treated with antibiotic and corticosteroid drugs but he developed mediastinitis and septic shock and died of multiple organ failure six days later from recovery in hospital. After a clinical, diagnostic and therapeutical consideration of the cervical necrotizing fasciitis and some related risks of a delayed diagnosis and treatment, the authors analysed the clinical history of the patient and of the medical conduct pointing out professional malpractice chargeable to doctors.
Lingua originaleEnglish
pagine (da-a)391-394
Numero di pagine4
RivistaJournal of Forensic and Legal Medicine
Volume15
Stato di pubblicazionePublished - 2008

All Science Journal Classification (ASJC) codes

  • Pathology and Forensic Medicine
  • Law

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