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Posterior nasal packing, spontaneous perforation of the esophagus and gram negative septicemia: Report of a case
Author(s) -
Becker Gary D.
Publication year - 1973
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.5540831114
Subject(s) - perforation , medicine , sepsis , nasal packing , antibiotics , esophagus , shock (circulatory) , surgery , microbiology and biotechnology , biology , materials science , punching , metallurgy
A posterior nasal pack was inserted to control epistaxis. Four days later a spontaneous esophageal perforation with gram negative septicemia and shock resulted in the patient's rapid demise. These entities have not previously been reported in association with posterior nasal packing. A brief discussion is given of the symptomatology and treatment of these conditions, as well as the influence of antibiotics on the nasopharyngeal flora and its possible role in the production of gram negative sepsis.