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[Retropharyngeal phlegmon caused by a group B Streptococcus in a diabetic patient: report of one case]
Jorge Sapunar Z1, Alvaro Cabello V, Emilio Godoy R
1Unidad de Endocrinología y Diabetes, Departamento de Medicina Interna, Facultad de Medicina, Universidad de La Frontera, Santiago, Chile. jsapunar@ufro.cl
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.
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