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[Septic metastatic complications in facial furuncles and carbuncles]
Abstract:
According the information of Maxillo-Facial Surgery Clinic of Moscow Medical Academy the percentage of the patients with face furuncles and carbuncles from all the hospitalised is the following: 1994--4.5%, 1995--7.9%, 1996--11.4%, 1997--17.0%. That gives about 3.7 times during the last 2 years. The rate of dangerous for life septic metastatic complications in the course of such diseases considerably exceeds those at phlegmons. This figure has increased 2 to 2.5 times during the last 2 years. Two clinical cases which demonstrate possibility of bacterial thromboemboli spreading in face furuncles and carbuncles not only through small, but also through large blood circulation with formation of septic centres in organs are described. The treatment tactics for such patients requires a strictly individual approach. At slightest suspicion of the complication urgent hospitalisation of the patients for active conservative therapy is necessary. In case of purulent process extension surgery is indicated.
Insights
Face furuncles and carbuncles are increasing, with a 3.7x rise in cases over two years. Septic complications have also doubled, highlighting the need for prompt medical attention and individualized treatment strategies.
Area of Science:
- Maxillofacial Surgery
- Infectious Diseases
Background:
- The incidence of face furuncles and carbuncles has shown a significant upward trend.
- Data from the Maxillofacial Surgery Clinic of Moscow Medical Academy indicates a rise from 4.5% in 1994 to 17.0% in 1997.
Observation:
- A notable increase in hospitalization rates for these conditions was observed over a four-year period.
- The rate of life-threatening septic metastatic complications associated with face furuncles and carbuncles is considerably higher than with phlegmons.
- These dangerous complications have seen a 2 to 2.5-fold increase in the last two years.
Findings:
- Two clinical cases illustrate the potential for bacterial emboli to spread via both small and large circulatory systems.
- This spread leads to the formation of secondary septic foci in various organs.
Implications:
- Treatment requires a highly individualized approach based on patient-specific factors.
- Immediate hospitalization for active conservative therapy is crucial upon suspicion of complications.
- Surgical intervention is indicated if the purulent process shows signs of extension.