Deep-neck space infections — a diagnostic dilemma!

Abstract

Deep Neck Space Infections (DNI) are a potentially life threatening condition. This paper highlights the importance of their early diagnosis and early intervention. The deep-neck space infections may be odontogenic in origin. The severe airway compromise caused by them may make diagnosis diffi cult. Suspicion of simultaneous occurrence of tetanus and retropharyngeal space infection in a child can further increase the dilemma.

Trismus in the paediatric population

“…Non‐odontogenic infections including tonsillitis, salivary gland infection or abscess (in particular of the parotid gland), and central nervous system infection can all result in trismus …”

“…1,29 Non-odontogenic infections including tonsillitis, salivary gland infection or abscess (in particular of the parotid gland), and central nervous system infection can all result in trismus. 1,[29][30][31][32][33] Tetanus infection, although now uncommon in countries with a vaccination programme, should be considered as a potential cause. 32,33 Infection can develop after wound contamination with the bacillus Clostridium tetani after a cut or puncture of the skin.…”