Case Of Deep Neck Abscess Research Articles

Deep Neck Infection: A Case Series

Background: Deep neck abscess is a collection of pus (pus) in the potential space between the fascia of the deep neck due to spread from various sources of infection, such as teeth, mouth, throat, paranasal sinuses, ears and neck. Various spaces can be a place for deep neck abscesses including the submandibular, peritonsillar, parapharyngeal, retropharyngeal, submental, parotid, anterior visceral, carotid, and masseter spaces. Inflammation or damage to chronic problem teeth can lead to complications of deep neck abscesses. The main complaint that causes sufferers to come to the hospital is dysphagia, which is difficulty swallowing due to the pain felt by the patient. These complaints can also be accompanied by trismus, stridor caused by tracheal compression, to airway obstruction. Purpose: To determine the progressivity of deep neck abscess so that it can provide medical management until operative incision and drainage. Case report: We report 5 cases of deep neck abscess with management according to the progress of each case. Conclusion: The most common cause or etiology that can lead to deep neck abscess is toothache. Management of deep neck abscess, starting with the administration of empirical antibiotics which is the first step to reduce the infection of bacteria that produce beta lactamase. In deep neck abscess, medical therapy can be given in the form of an antibiotic combination of ceftriaxone with metronidazole, or meropenem with metronidazole as well as surgery in the form of incision and drainage. Treatment can be chosen based on the presence or absence of warning signs and signs of complications. Incision and drainage is performed when complaints do not improve after administration of antibiotics, multiple abscesses and airway obstruction that threatens the patient's life.

A case of deep neck abscess caused by blunt injury

A case of deep neck abscess caused by blunt injury

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

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.

A study on 33 cases of deep neck abscess

A study on 33 cases of deep neck abscess

A Case of Deep Neck Abscess Extending to the Waist Area

A Case of Deep Neck Abscess Extending to the Waist Area

A Case of Deep Neck Abscess with Viral Pneumonia in the Covid Era.

The coronavirus disease 2019 (COVID-19) pandemic has generated many challenges for physicians, including multiple post-covid long-term effects that are still being studied. We report a case of patient who developed a retropharyngeal abscess with a concomitant viral pneumonia resembling Covid and its management.

A case of deep neck abscess derived from odontogenic infection treated with the protocol for early initiation of enteral nutrition

A case of deep neck abscess derived from odontogenic infection treated with the protocol for early initiation of enteral nutrition

A Case of Deep Neck Abscess after Blunt Injury

A Case of Deep Neck Abscess after Blunt Injury

A Case of Deep Neck Abscess Suspected to Be Cervical Necrotizing Fasciitis

A Case of Deep Neck Abscess Suspected to Be Cervical Necrotizing Fasciitis

Two cases of deep neck abscess in obese patients were secured airway by hybrid tracheostomy, combining surgical tracheostomy and percutaneous tracheostomy

Two cases of deep neck abscess in obese patients were secured airway by hybrid tracheostomy, combining surgical tracheostomy and percutaneous tracheostomy

A Case of Deep Neck Abscess Complicated with a Hematoma Due to a Blunt Injury

A Case of Deep Neck Abscess Complicated with a Hematoma Due to a Blunt Injury

A Case of Deep Neck Abscess Following a Folk Remedy for Fish Bone Migration

A Case of Deep Neck Abscess Following a Folk Remedy for Fish Bone Migration

The impact of delayed surgical drainage of deep neck abscesses in adult and pediatric populations

The conventional treatment for deep neck abscesses in adults is antibiotic therapy with surgical drainage, whereas in children there is debate about the role of surgical drainage versus conservative therapy. It is presently unclear if delayed surgical drainage negatively affects outcomes. We performed a multicenter, prospective, risk-adjusted cohort study of adult and pediatric patients with deep neck abscess who received incision and drainage within 7 days of admission in the American College of Surgeons National Surgical Quality Improvement Program from 2005 to 2013 (adults) and from 2012 to 2013 (pediatrics). Patients were compared based on age (≤ 18 years, > 18 years), timing of surgical drainage (day 0, day 1-2, or day 3-7), and complication rates (specifically, abscess-specific morbidity and mortality [M&M]). Multivariate regression was performed to control for preoperative differences. A total of 1,012 cases of deep neck abscess were identified (347 adult, 665 pediatric). In adults, delay in surgical drainage was associated with increased abscess-specific M&M, from 11.5% (day 0) to 17.3% (day 1-2) to 25.0% (day 3-7) (P = 0.02). On multivariate regression, delay in drainage of ≥ 3 days in adults was associated with a 2.38-fold increase in M&M (95% confidence interval 1.01-5.59, P = 0.019). In pediatrics, there was no association between surgical delay and increased abscess-specific M&M, with rates of 5.0% (day 0), 4.0% (day 1-2), and 4.8% (day 3-7) (P = 0.68). In adults, delay in surgical drainage of deep neck abscess is associated with increased M&M. There is no association between timing of drainage and M&M in children. 2c. Laryngoscope, 126:1753-1760, 2016.

Deep Neck Abscess with Mediastinum Involvement following Acupuncture: A Case Report

Traditional acupuncture is a growing modality of treatment worldwide. However, various acupuncture-related adverse effects had been reported. We report a case of deep neck abscess involving mediastinum following acupuncture. A 56 years old immunocompromised gentleman developed extensive neck abscess with mediastinum involvement and inflammatory aortitis following acupuncture for shoulder pain. Staphylococcus aureus was isolated from the abscess culture. Surgical drainage with systemic antibiotic admission resulted in a good clinical recovery and resolution of infection.

A Case of Deep Neck Abscess Extending to the Esophageal and Gastric Muscles

A Case of Deep Neck Abscess Extending to the Esophageal and Gastric Muscles

A Study on 25 Cases of Deep Neck Abscess

A Study on 25 Cases of Deep Neck Abscess

深頸部膿瘍25例の検討

深頸部膿瘍25例の検討

食道・胃筋層内にまで進展した深頸部膿瘍例

食道・胃筋層内にまで進展した深頸部膿瘍例

入院加療を行った深頸部膿瘍例の検討

We reviewed 42 cases of deep neck abscess drained surgically or treated conservatively between February 2001 and August 2008, based on age, gender, primary focus, main symptom, abscess location, systemic disease, pathogenic bacteria, hospital treatment, hospitalization length, complications and long-term hospitalization. Of the 42, 26 were men and 16 women aged 14 to 80 (central age: 54.5 years). Abscess was caused most by tonsil inflammation (38.1%). Main symptom were sore throat (54.8%) and neck swelling (35.7%). Abscesses were found in the supra- and infrahyoid region in 30 cases and extended to the mediastinum in 2. Of the 42, 14 (33.3%) had hypertension and 11 (26.2%) diabetes mellitus (DM). Inflammation was due to aerobic bacteria (mainly Streptococcus milleri) in 23 cases (54.8%) and to anaerobic bacteria (mainly Peptostreptococcus) in 11 cases (26.2%). Flexible fiberscopic examination was important in evaluating pharyngeal and laryngeal mucosal disorders and enhanced computed tomography was useful in both diagnosis and postoperative observation. Of the 42, 38 required surgical drainage and 4 were cured using needle aspiration and antibiotics. Of the 38 undergoing surgery-tracheostomy was required in 22. Hospitalization for those with tracheostomy and DM was longer than in those without these factors. Complications included 2 cases each of, mediastinal abscess, sepsis, disseminated intravascular coagulation (DIC), acute renal failure, severe pneumonia, upper digestive tract bleeding and swallowing disorder. Early surgical drainage and intravenous antibiotic administration are thus essential for treating deep neck abscesses.

Deep neck abscess due to Acinetobacter baumannii infection

Acinetobacter baumannii strains are isolated in up to 1% of nosocomial infections mostly from intensive care units immunocompromised patients and are associated with high mortality rates. A baumannii infections include pneumonia, urinary tract infection, endocarditis, skin and soft-tissue infections, surgical-site infection, meningitis, osteomyelitis, and septicemia. We report an extremely rare case of deep neck abscess due to multidrug-resistant A baumannii infection. The isolate strain was analyzed by a repetitive sequence-based polymerase chain reaction typing method: the isolate profile was compared with other strains obtained from isolates recovered in the hospital in that period. Our patient underwent 2 neck explorations and antibiotic treatment (tigecycline 50 mg, twice per day). Five weeks after admission, the patient was discharged in good general conditions. Considering the other obtained strains, 4 different profiles were identified, one as prominent (profile A, 18 isolates), the index case (B), and 2 others (C, D) as divergent.