Late Evolution of Deep Neck Space Abscess: Was Intubation the Cause?

Abstract

IntroductionDeep neck abscess in adults may occur as a result of local trauma, foreign body inoculation or immunosuppression.MethodWe describe a case of deep neck abscess that developed after recent hospitalization and intubation for chronic obstructive pulmonary disease (COPD) exacerbation.DiscussionThe incidence of deep neck abscesses has dramatically reduced due to the use of antibiotics. However, if present, they need prompt surgical drainage due to their proximity to the nearby vasculature of the neck.ConclusionThis case highlights the need for physician awareness of the clinical presentation of the unique complications of deep neck abscess developing after hospitalization.LEARNING POINTSRecent intubation or the introduction of a foreign body into the airway should be considered as possible causes of deep neck abscess infection.The diagnosis may be suggested by a CT scan.Incision and drainage may be required for the treatment of deep neck space infection.