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Open AccessCase Report

Subcutaneous and Mediastinal Emphysema Followed by Group A Beta-Hemolytic Streptococci Mediastinitis. A Complicated Course after Adenotonsillectomy: Case Report

1
Department of Otorhinolaryngology and head and neck surgery, Erasmus Medical Center, Sophia Children’s Hospital, 3015 GD Rotterdam, The Netherlands
2
Department of Pediatrics, Pediatric Intensive Care Unit, Erasmus Medical Center, Sophia Children’s Hospital, 3015 GD Rotterdam, The Netherlands
*
Author to whom correspondence should be addressed.
Diagnostics 2019, 9(1), 11; https://doi.org/10.3390/diagnostics9010011
Received: 11 November 2018 / Accepted: 4 December 2018 / Published: 15 January 2019
(This article belongs to the Special Issue Diagnosis and Management of Pediatric Diseases)
Tonsillectomy is a commonly performed surgery in the daily practice of an otorhinolaryngologist. For patients as well as health professionals, the best known complication is post-operative bleeding. Among the less noted, but potentially life-threatening, complications are the development of subcutaneous emphysema and the presence of bacteremia due to group A hemolytic streptococci. In this report, we describe a severely complicated clinical course after an uncomplicated adenotonsillectomy in a young boy. Increased awareness of relatively unknown complications after adenotonsillectomy amongst surgeons, pediatricians and anesthesiologists is desirable to facilitate rapid diagnosis and adequate treatment in order to prevent life-threatening situations. View Full-Text
Keywords: tonsillectomy; subcutaneous emphysema; mediastinal emphysema; mediastinitis; complication; bacteremia tonsillectomy; subcutaneous emphysema; mediastinal emphysema; mediastinitis; complication; bacteremia
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MDPI and ACS Style

Duvekot, A.; van Heesch, G.; Veder, L. Subcutaneous and Mediastinal Emphysema Followed by Group A Beta-Hemolytic Streptococci Mediastinitis. A Complicated Course after Adenotonsillectomy: Case Report. Diagnostics 2019, 9, 11. https://doi.org/10.3390/diagnostics9010011

AMA Style

Duvekot A, van Heesch G, Veder L. Subcutaneous and Mediastinal Emphysema Followed by Group A Beta-Hemolytic Streptococci Mediastinitis. A Complicated Course after Adenotonsillectomy: Case Report. Diagnostics. 2019; 9(1):11. https://doi.org/10.3390/diagnostics9010011

Chicago/Turabian Style

Duvekot, Anne; van Heesch, Gwen; Veder, Laura. 2019. "Subcutaneous and Mediastinal Emphysema Followed by Group A Beta-Hemolytic Streptococci Mediastinitis. A Complicated Course after Adenotonsillectomy: Case Report" Diagnostics 9, no. 1: 11. https://doi.org/10.3390/diagnostics9010011

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