Paediatric Deep Neck Infection—The Risk of Needing Intensive Care

Peřina, Vojtěch; Szaraz, David; Harazim, Hana; Urík, Milan; Klabusayová, Eva

doi:10.3390/children9070979

Cited by 4 publications

(3 citation statements)

References 103 publications

(140 reference statements)

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“…Treatment of head and neck space infections in children should consist of accurate physical diagnosis aided by imaging studies, empiric antibiotic therapy that covers gram-negative and betalactamase-producing organisms as well as gram-positive organisms and anaerobes, and timely surgical intervention if necessary [8]. It is important to note that deep neck space infections are potentially dangerous complications of upper respiratory tract or odontogenic infections and can be lifethreatening if not diagnosed properly [9].…”

Section: Introductionmentioning

confidence: 99%

Space Infections in Children- A Case Report Series

Sathyaprasad

2024

J Dent Rep.

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Head and neck area infections in children can be severe, necessitating an immediate diagnosis and course of treatment. These infections are frequently brought on by periapical abscesses, dental trauma, untreated dental caries (cavities), or consequences from dental operations. Poor oral hygiene practices and postponed dental treatment in children might raise the risk. Swelling, discomfort, fever, trouble swallowing, trismus (inability to open the mouth), and occasionally difficulty breathing or speaking are common symptoms in children with head and neck region infections. Clinical examination, patient history, and imaging tests like dental radiographs (X-rays) and CT scans to map out the extent and location of the infection are commonly used by paediatric dentists and healthcare professionals to identify these illnesses. To manage the illness, broad-spectrum antibiotics are frequently administered. These infections, if ignored, can result in potentially fatal consequences such as cellulitis, Ludwig's angina, mediastinitis, and sepsis.

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Section: Introductionmentioning

confidence: 99%

Space Infections in Children- A Case Report Series

Sathyaprasad

2024

J Dent Rep.

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“…In the group of adults, odontogenic soft tissue inflammation of the head and neck is multimicrobial with a significant component of anaerobic bacteria, while in children the most common causes are staphylococci and streptococci. Children are also more prone to the spread of infection through the lymphatic vessels, due to the higher content of this tissue in children compared to adults [ 12 ]. Treatment of odontogenic infections in children often requires multi-specialized treatment.…”

Section: Introductionmentioning

confidence: 99%

Analysis of the Clinical Status and Treatment of Facial Cellulitis of Odontogenic Origin in Pediatric Patients

Słotwińska-Pawlaczyk

Orzechowska-Wylęgała

Latusek

et al. 2023

IJERPH

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The most common cause of the development of odontogenic infection is untreated dental caries, which initially leads to pulpitis. If an odontogenic infection is left untreated, it will pass through the limiting bone plate and will infiltrate deeper structures. Odontogenic infections are different in adults and children. The study was conducted at the Department of Pediatric Otolaryngology and Pediatric Head and Neck Surgery of Upper Silesian Children’s Health Center in Katowice in the 2020–2022. We included 27 patients aged 2–16 in the study. Patients were diagnosed with an active, acute odontogenic inflammatory process in the head and neck area. We assessed pain, trismus, extraoral and intraoral swelling and the level of CRP [C Reactive Protein], WBC [White Blood Cells], NLR [Neutrophil Lymphocyte Ratio], D-dimers and Prealbumins. The results were analyzed in terms of the location of the source of inflammation: maxilla or mandible and the type of source of infection: deciduous tooth or permanent tooth. Deciduous teeth are more often the cause of odontogenic infection in the maxilla, while permanent teeth in the mandible. Trismus, extraoral, and intraoral swelling occurred in all infections caused by permanent teeth. The CRP and NLR ratio is statistically higher in infection, which originates from permanent teeth. The mean hospitalization time was also longer for infections from permanent teeth 3.42 days than for deciduous teeth 2.2 days. The varied clinical picture of odontogenic infections in children requires periodic analyzes of statistical data related to epidemiology, etiology, and symptomatology in order to update diagnostic and therapeutic procedures.

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“…Tonsillitis accounts for a large percentage of patients visiting the emergency department (ED) for a sore throat [ 1 ]. Acute infection of the tonsil may involve the skin and mucous membranes and spread to surrounding connective tissues, forming an abscess, which could develop into deep neck infection (DNI) [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Predictive Performance Neutrophil-to-Lymphocyte Ratio of Acute Tonsillitis with Deep Neck Space Infection in Adult Patients

Lee,

Oh,

Choi

et al. 2023

Emergency Medicine International

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The aim of this study was to examine the neutrophil-to-lymphocyte ratio (NLR) in patients diagnosed with a deep neck infection (DNI) to identify helpful indicators for the initial differential diagnosis. This study was conducted as a single-center, retrospective cohort study that utilized data from the electronic medical records of patients who visited the emergency department in a tertiary university hospital between February 2018 and April 2022. The study enrolled patients aged ≥18 years who were diagnosed with tonsillitis with or without DNI during the study period. The NLR of patients without DNI was 6.1 ± 5.03, and the NLR of patients with acute tonsillitis with DNI was 8.0 ± 5.67, showing significant differences. The rate of admission in the general wards (GWs) and ICUs was significantly higher in patients with DNI, and the length of hospital stay was also significantly longer in patients with DNI. Older age, male, lower body temperature, C-reactive protein, and NLR were significant independent risk factors for DNI in patients with tonsillitis. The cutoff value for predicting DNI in patients with body temperature <37.5 was 3.09. The NLR of patients with tonsillitis, especially those with normal body temperature, can be used to predict their prognosis.

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Paediatric Deep Neck Infection—The Risk of Needing Intensive Care

Cited by 4 publications

References 103 publications

Space Infections in Children- A Case Report Series

Space Infections in Children- A Case Report Series

Analysis of the Clinical Status and Treatment of Facial Cellulitis of Odontogenic Origin in Pediatric Patients

Predictive Performance Neutrophil-to-Lymphocyte Ratio of Acute Tonsillitis with Deep Neck Space Infection in Adult Patients

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