The effect of metronidazole on the experimental mixed infection of oral anaerobes.
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Three patients with parapharyngeal cellulitis arising from dental infection were seen by the Medical Service over a period of ten months. Respiratory distress and/or pharyngeal discomfort prompted all patients to seek medical aid. The extent of infection within the parapharyngeal space, the potential for life-threatening complications, and the significance of the dental lesions were not appreciated initially in all cases. Despite early antibiotic therapy, one patient died and one incurred severe neurologic sequelae. Early recognition, use of antibiotics effective against anaerobic bacteria, and prompt surgical drainage are mandatory to prevent considerable morbidity and mortality. Control of the airway is the most important therapeutic maneuver leading to a favorable outcome.
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After a short introduction pointing out the difficulties faced by an italian clinician when he has to apply a correct aetiologic therapy to the non-sporing anaerobe infections, difficulties which are especially due to the lack of an efficient microbiologic support, the A. examines the main infections caused by these bacteria and shows the treatment for each case according to the more recent literature and to his own experience.
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