Deep Neck Infection

Vieira, Francisco; Allen, Shawn M.; Stocks, Rose Mary S.; Thompson, J. W.

doi:10.1016/j.otc.2008.01.002

Cited by 314 publications

(411 citation statements)

References 49 publications

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“…Drug resistance was not revealed to the isolated S. constellatus, consistent with the previous findings that few case reports have describes drug resistance to SMG [1,24]. Moreover, the patient suffered from drug eruption presumably because of meropenem, we thus changed the antibiotic therapy to sulbactam/ampicillin, and continued until the patient has been afebrile for 48 hours according to the previous review [22].…”

Section: Discussionsupporting

confidence: 86%

“…Length of antibiotic therapy for the peritonsillar and/or parapharyngeal abscess in older patients has been reported to range from 10 to 30 days, consisting of combined intravenous and oral routes [23]. First, we used meropenum in combination with clindamycin which would be highly effective against most anaerobes [22]. Drug resistance was not revealed to the isolated S. constellatus, consistent with the previous findings that few case reports have describes drug resistance to SMG [1,24].…”

Section: Discussionsupporting

confidence: 80%

“…Every patient who has a deep head and neck infection should be given initial empiric antibiotic therapy until culture and sensitivity results are available [22]. Length of antibiotic therapy for the peritonsillar and/or parapharyngeal abscess in older patients has been reported to range from 10 to 30 days, consisting of combined intravenous and oral routes [23].…”

Section: Discussionmentioning

confidence: 99%

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Unique Extension of Peritonsillar Abscess to the Masticator Space Encountered in the Early Phase of Antiviral Therapy for Hepatitis C

Hidaka¹

2012

Clin Microbial

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Section: Discussionsupporting

confidence: 86%

Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

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Unique Extension of Peritonsillar Abscess to the Masticator Space Encountered in the Early Phase of Antiviral Therapy for Hepatitis C

Hidaka¹

2012

Clin Microbial

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“…Knowledge of the anatomy of the areas in which infection tended spread was important in the preantibiotic days from the point of view of routes of spread, complications and surgical drainage but nowadays knowledge of three spaces (submandibular, parapharyngeal, retropharyngeal) will allow management of 90% of patients. 3 Deep neck spaces infections are bacterial infections that primarily originate from teeth, tonsils and impacted foreign bodies in upper aero digestive tract.…”

Section: Introductionmentioning

confidence: 99%

A study of deep neck spaces infection in present era at tertiary care teaching hospital

Khavdu

Fefar

Mistry

et al. 2018

Int J Otorhinolaryngol Head Neck Surg

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Background: Deep neck spaces infection is a common challenging condition for otolaryngologist in day to day practice even after availability of higher antibiotics. It may leads to considerable morbidity and complications. The aim of the study was to find out prevalence, predisposing factors and changing trend of deep neck spaces infection in this broad spectrum antibiotics era.Methods: This prospective study was carried out at P.D.U. Medical College and Hospital, Rajkot. 120 Patients were studied who came with deep neck space infection. Results: In this study majority of patient were in the age group of 41-60 year. Odontogenic and oropharyngeal infectionare the most common etiologies. Staphylococcus aureus, Streptococcus, E. colli, Klebsiella and anaerobes were the microorganisms commonly isolated in pus culture and sensitivity test.Conclusions: In spite of availability of broad spectrum antibiotics in present day deep neck spaces infection is the most commonly noticeable condition in developing countries and may lead to considerable morbidity and complications. Inadequate nutritional status, poor oral hygiene and lack of awareness in dental health are common predisposing factors for deep neck spaces infection.

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“…Clinical manifestations of DNSI depend on the infected spaces and include pain, fever, swelling, dysphagia, trismus, dysphonia, otalgia and dyspnea. Common and potentially life-threatening complications include airway obstruction, jugular vein thrombosis, descending mediastinitis, sepsis, acute respiratory distress syndrome, disseminated intravascular coagulation, jugular venous thrombosis, septic pulmonary emboli, empyema, and septic arthritis (7,8). Although the incidence of severe DNSI requiring hospitalization and extraoral incision and drainage has decreased, the clinical challenge of their proper treatment remains the same.…”

mentioning

confidence: 99%

Clinical and epidemiological profile of deep neck space infections: A retrospective study in Hamadan, Western Iran, during 2008-2013

Farahani

Seif-Rabiee

2017

JOHE

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Received: April 2017, Accepted: June 2017 Background: The diagnosis of deep neck space infection (DNSI) is difficult due to lack of common clinical symptoms and signs and covering of deep seated infections by regular tissues of neck. There is no evidence of clinical and epidemiological profile of deep neck space infections in western Iran.This study was designed to analyze demographic features, clinical presentations, and outcomes of DNSIs in order to promote diagnosis, management and treatment of the disease. Materials and Methods: This retrospective study was carried out on 202 patients with the diagnosis of DNSI hospitalized in Hamadan hospitals, Iran, during 2008Iran, during -2013. All parameters including demographic characteristics, geographical location, symptoms, site of infection, required interventions and treatments, and complications and outcomes were studied. Finally, the data were reported by descriptive statistics like mean ± standard deviation (SD), median for quantitative parameters, and frequency tables and percentages for qualitative parameters. Results: Among 202 patients, 58.9% (119 patients) were men. The mean age ± SD was 28.4 ± 14.7 years and ranged from 4 months to 82 years. Most admissions were in winter with 25.7% (52 patients), the majority of which came from urban background (60%). The most common site of infection was submandibular abscess (50%). Airway obstruction occurred in 11.8% of the patients as the most common complication. Two top antibiotics were metronidazole (80.8%) and penicillin G (79.8%). Surgical intervention was carried out in 82.7% of the cases. One patient died of Ludwig's angina. Conclusions:The results of this study showed that although DNSIs have proven to be life-threatening diseases, proper diagnosis and management can effectively defeat them and provide cure without complications.

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Deep Neck Infection

Cited by 314 publications

References 49 publications

Unique Extension of Peritonsillar Abscess to the Masticator Space Encountered in the Early Phase of Antiviral Therapy for Hepatitis C

Unique Extension of Peritonsillar Abscess to the Masticator Space Encountered in the Early Phase of Antiviral Therapy for Hepatitis C

A study of deep neck spaces infection in present era at tertiary care teaching hospital

Clinical and epidemiological profile of deep neck space infections: A retrospective study in Hamadan, Western Iran, during 2008-2013

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