scholarly journals Deep neck infection and descending mediastinitis as lethal complications of dentoalveolar infection: two rare case reports

2018 ◽  
Vol 12 (1) ◽  
Author(s):  
Bamidele Johnson Alegbeleye
2020 ◽  

Deep neck infection (DNI) is an infection in the fascial spaces of the neck. Complications of DNI, including mediastinitis, internal jugular vein thrombosis, and upper airway obstruction, are severe and potentially life threatening. Therefore, early identification and accurate management of DNI are essential. We review the anatomy of the deep spaces of the neck to determine the route of DNI spread so that emergency doctors, physicians, and otorhinolaryngologists can quickly recognize the development of lethal complications of DNI, such as asphyxia from airway obstruction.


2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Evgeni Brotfain ◽  
Leonid Koyfman ◽  
Lisa Saidel-Odes ◽  
Abraham Borer ◽  
Yael Refaely ◽  
...  

Propionibacterium acnesis an anaerobic, Gram-positive bacterium which causes numerous types of infections. IsolatedPropionibacterium acnesdeep neck infections are very rare. We present an interesting case of deep neck infection complicated by descending mediastinitis of isolatedPropionibacterium acnesinfection.


Author(s):  
Eun Soo Lee ◽  
Heon Soo Park ◽  
Sang Hyeon Kim ◽  
Dong Kun Lee

A paratracheal cyst is an air-filled cyst lined by a ciliated epithelium, commonly referred to as a tracheal diverticulum. The most common location of paratracheal cysts is the right side of posterolateral tracheal wall. It occurs in 0.3% to 8.1% of the total population. Most paratracheal cysts are asymptomatic and discovered incidentally on routine radiologic examination. Rarely, however, symptoms such as cough or fever are encountered and chronic infection of the paratracheal cyst usually present itself like a tucoberculosis or a tumor. There are few case reports of deep neck infection caused by a paratracheal cyst. We report a case of retropharyngeal abscess resulting from an infected paratracheal cyst.


2015 ◽  
Vol 23 (3) ◽  
pp. 181 ◽  
Author(s):  
Hyung Yoon Kim ◽  
Sang-Chol Lee ◽  
Sung-Ji Park ◽  
Jin-Oh Choi ◽  
Sung-A Chang ◽  
...  

2019 ◽  
Author(s):  
Jing-Chun Zhao ◽  
Nan Zhang ◽  
Zhen-Dong Wu ◽  
Jian Wang ◽  
Qing-Hua Yu ◽  
...  

Abstract Background Although the incidence and mortality of deep neck infection has decreased, this infection still relatively frequent and can be associated with lethal complications. In this study, the authors present our clinical experience of patients with posterior deep neck infection (PDNI) diagnosed and treated in a territory reconstructive unit in northeastern China. Methods A retrospective chart review of patients diagnosed with PDNI from January 2009 and December 2018 was performed. A data analysis was performed relating to demographic characteristics, clinical presentation, comorbidities, bacterial culture, laboratory and radiographic evaluations, diagnostic clues, management, complications as well as the clinical course and outcome. Results During the ten-year period there were 174 consecutive patients admitted to our reconstructive center with final diagnosis of PDNI were included. All the patients were adults with the majority were male (67.2%). The patient mean age was 51.3 years (range, 15 - 88 years). There were 114 patients (65.5%) who had associated systemic diseases, with the most common comorbidity was diabetes mellitus (40.2%). Common presented clinical symptoms were pain (90.8%), swelling (85.1%) and erythema (77%) of the neck. Surgical treatment was performed in all the patients and most of them (83.9%) received the first surgery within 24 h. The most commonly isolated pathogen was Staphylococcus aureus (30%). Vancomycin (21.3%) was the most commonly used antibiotics, followed by cefepime (18.4%). All the patients survived and discharged with mean duration of hospitalization of 28.7 days. Those patients with underlying systemic diseases (31.4 ± 12.35 days) or complications (41.0 ± 12.5 days) tended to have a longer hospital stay. The mean cost of admission per patient was 47 644 RMB. Conclusion This study highlights the high cost burden of PDNI patients. Those patients with underlying systemic diseases or complications tended to have a longer hospital stay.


2020 ◽  
Vol 15 (3) ◽  
pp. 222-226 ◽  
Author(s):  
Asha K. Rajan ◽  
Ananth Kashyap ◽  
Manik Chhabra ◽  
Muhammed Rashid

Rationale: Linezolid (LNZ) induced Cutaneous Adverse Drug Reactions (CADRs) have rare atypical presentation. Till date, there are very few published case reports on LNZ induced CADRs among the multidrug-resistant patients suffering from Infective Endocarditis (MDR IE). Here, we present a rare case report of LNZ induced CARs in a MDR IE patient. Case report: A 24-year-old female patient was admitted to the hospital with chief complaints of fever (101°C) associated with rigors, chills, and shortness of breath (grade IV) for the past 4 days. She was diagnosed with MDR IE, having a prior history of rheumatic heart disease. She was prescribed LNZ 600mg IV BD for MDR IE, against Staphylococcus coagulase-negative. The patient experienced flares of cutaneous reactions with multiple hyper-pigmented maculopapular lesions all over the body after one week of LNZ therapy. Upon causality assessment, she was found to be suffering from LNZ induced CADRs. LNZ dose was tapered gradually and discontinued. The patient was prescribed corticosteroids along with other supportive care. Her reactions completely subsided and infection got controlled following 1 month of therapy. Conclusion: Healthcare professionals should be vigilant for rare CADRs, while monitoring the patients on LNZ therapy especially in MDR patients as they are exposed to multiple drugs. Moreover, strengthened spontaneous reporting is required for better quantification.


2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Durga Shankar Meena ◽  
Gopal Krishana Bohra ◽  
Mahadev Meena ◽  
Bharat Kumar Maheshwari

Moyamoya disease is a chronic progressive cerebrovascular disease characterized by bilateral occlusion or stenosis of arteries around circle of Willis. We report a case of 18-year-old female presented with recurrent episodes of headache and vertigo. On cerebral angiography, the patient was diagnosed to have moyamoya disease. On further evaluation, thrombophilia profile showed increased homocysteine level. The patient was treated conservatively with cobalamin and aspirin and advised for revascularization. According to the literature, there are few case reports of moyamoya disease with thrombotic disorders. Hence, we are reporting this interesting and rare case.


2007 ◽  
Vol 106 (7) ◽  
pp. 577-581 ◽  
Author(s):  
Tsung-Han Li ◽  
Chien-Ming Shih ◽  
Wei-Jen Lin ◽  
Chien-Wei Lu ◽  
Li-Lian Chao ◽  
...  

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