Giant Parotid Abscess With Significant Skin Necrosis: A Case Report

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Dan Lu1, Jiaxin Cui1, Yuhang Xie1

  • 1Department of Otolaryngology, Gongli Hospital of Pudong New Area, The Second Military Medical University, Shanghai, China.

Ear, Nose, & Throat Journal
|March 1, 2024
PubMed

Insights

This case study highlights a rare instance of extensive skin necrosis in a parotid abscess, linked to poor glycemic control and Klebsiella pneumoniae infection. Effective management involved daily Bacillus exchange and blood glucose control, leading to complete resolution.

Area of Science:

  • Infectious Diseases
  • Dermatology
  • Endocrinology

Background:

  • Poor glycemic control is a known risk factor for parotid abscesses.
  • Extensive skin necrosis as a complication of parotid abscesses is infrequently documented.

Purpose of the Study:

  • To report a rare case of a giant parotid abscess with extensive skin necrosis.
  • To discuss the management and outcomes in a patient with poor glycemic control.

Main Methods:

  • Clinical presentation, imaging, and laboratory findings were used for diagnosis.
  • Treatment involved intravenous antibiotics, daily Bacillus exchange, and meticulous blood glucose and electrolyte monitoring.

Main Results:

  • A giant parotid abscess with extensive skin necrosis caused by Klebsiella pneumoniae was diagnosed.
  • The patient showed poor response to initial antibiotic treatment but achieved complete resolution after 3 months with Bacillus exchange and glycemic management.

Conclusions:

  • This case underscores the importance of considering extensive skin necrosis in parotid abscesses, especially in patients with uncontrolled diabetes.
  • Aggressive management including Bacillus exchange and strict glycemic control can lead to favorable outcomes in such complex cases.
Keywords:
BAIKERUI gauze wound dressingdiabetes mellitusgiant abscessparotid glandskin necrosis

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