Deep neck abscesses: study of 101 cases

Abstract

The clinical features and severity of DCA varied according to different age groups, perhaps due to the location of the infection and a higher incidence of comorbidity in adults. Thus, DCA in adults is more facile to have multispace involvement and lead to complications and seems to be more serious than that in children.

Absceso retrofaríngeo en lactante menor. Reporte de caso y revisión de la literatura

“…Llama la atención los resultados de este estudio en particular, debido a que es ampliamente difundido en la literatura una mayor incidencia de abscesos retrofaríngeos en la edad pediátri-ca 1,5,8,9,13,14 , lo cual se explica por la presencia de los linfonodos retrofaríngeos o "de Gillette", siendo su abscesificación la principal causa de esta patología en dicho grupo etario hasta los 5 años, cuando inician su atrofia 3 .…”

“…El estudio brasileño ya mencionado 13 evidenció que el agente detectado con mayor frecuencia es Streptococcus pyogenes, mientras que la revisión española 9 informa la mayoría de los casos como polimicrobianos.…”

“…De no ser tratado oportunamente, el ARF puede evolucionar con complicaciones que pueden comprometer la vida 13,14,17 , es por esto que en el enfrentamiento, más allá del algortimo utilizado, debe considerar un alto índice de sospecha y un seguimiento cercano.…”

Descending Necrotizing Mediastinitis due to Odontogenic Infection: An unusual Case Report

“…Mediastinitis is an uncommon and low-incidence complication when compared to other situations such as septic shock, pneumonia and airway obstruction with indication of tracheostomy [4]. It is important to emphasize odontogenic infection as an etiological factor and its interaction with cervicofacial spaces.…”

“…Regarding the risk of death, DNM leads a high morbidity to the patient, considering the presence of septic shock between 40-50% 1 of the cases. This severe and aggressive behavior explains the importance of complementary examinations for diagnostic elucidation such as chest and cervical Computed Tomography (CT), complete blood count, blood culture and antibiogram [4]. The standardized treatment for deep cervical and thoracic infections, such as mediastinitis and cervical fasciitis, is to maintain free and functional airways through end tracheal intubation, cricothyroidectomy, or tracheostomy as well as drainage of congestive fascial spaces and removal of the The patient remained sedated for 36 hours postoperatively with or tracheal intubation.…”