Acinetobacter Prevertebral Abscess: Presenting as Dysphagia in a Diabetic Patient

Manmathan, Rasaiah; Kumanan, T.; Pradeepan, Jebananthy Anandaselvam

doi:10.1155/2018/6051641

Cited by 4 publications

(6 citation statements)

References 7 publications

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“…In 10 cases, the infection has spread to the prevertebral plane. This occurrence is uncommon, and it is due to the extension of the infection to the prevertebral space between the vertebrae bodies and prevertebral fascia [27]. In 17 patients, the DNI was complicated by the spread of the infection into the mediastinum, which required the intervention of a thoracic surgeon.…”

Section: Discussionmentioning

confidence: 99%

Management of Deep Neck Space Infections: A Large Tertiary Center Experience

Loperfido¹,

Stasolla²,

Giorgione³

et al. 2023

Cureus

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Introduction: Deep neck space infections (DNIs) represent serious bacterial infections affecting the deep cervical space and fascial planes of the neck. This study aims to describe our clinical and surgical experience in the management of DNIs, emphasizing the importance of appropriate imaging in the diagnostic setting and the role of the multidisciplinary approach according to the severity of the infection.Methods: In this retrospective study, we describe 85 patients affected by DNIs coming to the Otolaryngology department observation from the Emergency Room of San Camillo Forlanini Hospital in Rome from January 2006 to December 2021 and treated both by pharmacological and surgical therapy.Results: 54 patients (64%) were male, and 31 (36%) were female, with a mean age of 50.5 years. The most common cause of DNI was odontogenic, accounting for 70% of all collected cases. In 68 patients (80% of all cases), the surgical approach consisted of an extended unilateral cervicotomy, whereas in 17 patients (20% of all cases), a bilateral cervicotomy was performed. Surgical revision was required in 15 cases (18%). A tracheostomy was necessary in seven cases. The overall survival rate was 96.5%.Conclusions: DNI represents a serious and life-threatening condition, remaining a constant challenge for the head and neck surgeon. Contrast-enhanced computed tomography is critical for therapeutic planning, which requires both a surgical approach and antibiotic therapy. Surgical treatment should be performed as soon as possible. In severe cases, the multidisciplinary approach is advisable.

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Section: Discussionmentioning

confidence: 99%

Management of Deep Neck Space Infections: A Large Tertiary Center Experience

Loperfido¹,

Stasolla²,

Giorgione³

et al. 2023

Cureus

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“…The most commonly identified bacterial pathogens are Staphylococcus aureus in study by Widdrington et al (38%), coagulase negative Staphylococci (12%) and Escherichia coli (12%), but we must not ignore other less common causes such as Mycobacterium tuberculosi, Streptococci, or Anaerobes [4,5,6]. Diagnosis of spinal abscess based on clinical tests, neurological examination, laboratory test and radiological features can be difficult.Prevertebral abscess has an puzzling tale, with both the time lapse between the onset of symptoms and hospitalisation and progression to a severe form being highly individual and unpredictable.…”

Section: Discussionmentioning

confidence: 99%

“…Prevertebral absces is a difficult diagnosis due to the extensive differential diagnosis, and considering its rarity compared to much more common causes of low back pain, such as disc herniation. Diagnosing and managing prevertebral abscess is greatly aided by the advent of modern radiological techniques, including magnetic resonance imaging [5,6,7].…”

Section: Discussionmentioning

confidence: 99%

Acute prevertebral abscess as unusual cause of low back pain: Case report

Krstačić¹,

Krstačić²

2023

Hosp Pharm Int Multi J

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Introduction: Diseases of prevertebral spaces are uncommon but can result in significant morbidity. Case report: This is a case report of acute prevertebral abscess in a 40year-old man. After being transferred to our hospital the patient was initially diagnosed with lower back pain and with high-grade fever. Magnetic resonance imaging (MRI) suggested prevertebral abscess from Th11-L1. Blood test indicated a bacterial inflammation. Antibiotics were administered. The patient's condition consequently improved. He was discharged with normal neurological status and without any symptoms with a complete regression of the abscess on check-up MRI. Discussion: Magnetic resonance imaging remains the gold standard for the radiological demonstration of spine abscess. Antibiotic therapy is a pillar of treatment for spine abscess and should be a part of the treatment in all cases. Conclusion: In conclusion, our aim is to stress the importance of considering a prevertebral abscess in the differential diagnosis in patient with low back pain.

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“…DNIs have the propensity to cause life-threatening complications such as airway obstruction, mediastinitis, adult respiratory distress syndrome and jugular vein thrombosis 1. Prevertebral space infections constitute less than 1% of all DNIs and can be secondary to odontogenic infections, Pott’s spine or trauma 2 3. Pancreatitis with a pseudocyst causing a prevertebral space abscess is very rare.…”

Section: Introductionmentioning

confidence: 99%

“…There has been only one previous case report of an infected pseudocyst of the pancreas presenting as a prevertebral abscess 4. The dagnosis of a prevertebral abscess can be challenging due to the vague presenting features and rarity of neurological deficits 3. Imaging studies and biochemical evaluation of the abscess are helpful for definitive diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Pancreatitis with infected pseudocyst presenting as a prevertebral abscess with spontaneous rupture into the oesophagus

et al. 2023

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The development of a prevertebral abscess due to an infected pancreatic pseudocyst and its spontaneous rupture into the oesophagus is a rare complication. We report a man who presented with odynophagia, dyspnoea and abdominal pain. Contrast-enhanced CT showed evidence of pancreatitis and a prevertebral space abscess communicating with the pancreas through the oesophageal hiatus. The patient was diagnosed to have a prevertebral abscess with chronic pancreatitis. Surgical drainage was planned, but the patient died of spontaneous drainage of the prevertebral abscess into the oesophagus and aspiration of the collection into the lungs.

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Acinetobacter Prevertebral Abscess: Presenting as Dysphagia in a Diabetic Patient

Cited by 4 publications

References 7 publications

Management of Deep Neck Space Infections: A Large Tertiary Center Experience

Management of Deep Neck Space Infections: A Large Tertiary Center Experience

Acute prevertebral abscess as unusual cause of low back pain: Case report

Pancreatitis with infected pseudocyst presenting as a prevertebral abscess with spontaneous rupture into the oesophagus

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