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Head phlegmon as a complication of eyelids erysipelas – two cases in one family

100%

Szołdra-Seiler A. , Horbacz-Jary G.

Otolaryngologia Polska

2008

tom 62(6)

779-781

Introduction. Bacterial infections of skin and subcutaneous tissue are not rare, but they are connected with diagnostic and therapeutic diffi culties. Aim. A case of almost simultaneous facial phlegmon in course of eyelids erysipelas in two members of one family is described. Material, methods, results. Differential diagnostics, clinical course and applied effective treatment are presented. Conclusions: Pathogen identifi cation and application of large doses of targeted antibiotics are crucial in therapy.

Subcutaneous Emphysema of a Neck and Extensive Phlegmon of a Lower Limb as the First Symptoms of Large Intestine Perforation

80%

Wawrzak A. , Korlacki J. , Głowacz M.

2009

tom 81

nr 8

348-353

This research has presented two cases of clinically silent perforation of the large intestine. The first symptoms were the following: subcutaneous emphysema of the neck, nasal speech, and extensive phlegmon of a lower limb. In both cases diagnoses were difficult and the treatment was delayed due to intestine perforation into the retroperitoneal space and lack of acute abdominal symptoms. This article explains the anatomical base of spreading infection from the retroperitoneal space to distant areas. The possibility of such uncommon complications reminds of holistic approach to every patient and thorough physical examination.