• Title/Summary/Keyword: Deep infection

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A Case of deep neck infection following gastroenteroscopy (내시경 후 발생한 경부 심부 감염 1예)

  • Kim, Sang-Yeon;Yoo, Young-Hwa;Auo, Hyeon-Jin;Kang, Jun-Myung
    • Korean Journal of Bronchoesophagology
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    • v.14 no.1
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    • pp.38-41
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    • 2008
  • Deep neck infection is an infection in the potential spaces and fascial planes of the neck, either with abscess formation or cellulitis. In the preantibiotics era most cases of deep neck infection were secondary to an oropharyngeal infection. Moreover, today manupulation of intubation tube and gastroenteroscopy may cause deep neck infection by iatrogenic trauma. We experience 1 case of deep neck infection which originate from pharyngeal penetrating injury following gastroenteroscopy.

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Occurrence of bilateral pneumothorax during tracheostomy in a patient with deep neck infection

  • Kang, Sang-Hoon;Won, Yu-Jin;Chang, Jung Hyun
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.16 no.2
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    • pp.141-145
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    • 2016
  • Infection that progresses to deep areas of the neck requires appropriate assessment of the airway, and securing of the airway is critical in patients with deep neck infection. In the patient in our case report, bilateral pneumothorax occurred while performing tracheostomy to the airways of a patient with deep neck infection, and therefore, this paper details the method used to secure the airway of patients with deep neck infection.

A Case of Pseudoaneurysm of the Common Carotid Artery secondary to Deep Neck Infection (심경부 감염과 동반된 총경동맥 가성동맥류 1례)

  • 정필섭;조정석;정필상
    • Korean Journal of Bronchoesophagology
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    • v.3 no.1
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    • pp.159-163
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    • 1997
  • The complications of deep neck infection have become much less common in the antibiotic era. The vascular complications of deep neck infection can have devasting consequences. Most commonly, the internal carotid artery is involved, although the common carotid and external carotid artery can also be affected.0 the cases of patients with a protracted course, recurrent bleeding, cranial neuropathies, or trismus, the presence of vascular complications must be considered. Appropriate imaging should be carried out to allow the localization of the infection and ascertain the status of the vessels in the neck The vascular structures can be imaged with duplex doppler or color doppler flow ultrasound to see the flow between the mass and vessels. Also angiography plays a key role in the diagnosis and management of vascular complication of deep neck infection. Prompt diagnosis and treatment of these patients is necessary to prevent significant hemmorrhagic complications. We experienced a case of pseudoaneurysm of the common carotid artery secondary to deep neck infection treated successfully with surgical excision in 45-year-old-male.

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ONE CASE OF ACUTE MEDIASTINITIS IN DEEP NECK INFECTION (경부심부감염에 의한 급성 종격동염 1례)

  • 박종태;김정은;백승훈;김명원;이종환;장백암
    • Korean Journal of Bronchoesophagology
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    • v.2 no.2
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    • pp.253-257
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    • 1996
  • Deep neck infections were flirty common and a source of considerable morbidity and mortality. Although the advent of antibiotics has reduced the overall number of deep neck infections, they still occur in the general population. There are several new groups of patients at risk for deep neck infections, such as immunocompromised individuals, those with underlying diseases. Prevention of the severe sequale that may be associated with deep neck infections- mediastinitis, airway obstruction, carotid artery hemorrhage, aspiration pneumonia, septicemia - requires a knowledge of various portals of entry for infection, the presenting sign and symptoms, the possible microbiologic features, appropriate laboratory and radiologic workups, therapeutic techniques, and the ongoing medical management. A prompt diagnosis and institution of therapy will shorten the course of required treatment and reduce morbility and mortility. The authors have experienced one case of acute mediastinitis in deep neck infection patient with diabetes mellitus.

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A Clinical Study of Deep Neck Infection (경부심부감염의 임상적 고찰)

  • 이시형;김상윤;남순열;김준모;유승주
    • Korean Journal of Bronchoesophagology
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    • v.7 no.1
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    • pp.34-39
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    • 2001
  • Background and Objectives: Deep neck infections, which affect soft tissues and fascial compartments of the head and neck and their contents, have decreased after the develop ment of chemotherapeutic agents and antibiotics. However they may still result in significant morbidity and mortality despite the use of chemotherapeutic agents and antibiotics. Materials and Methods : A retrospective study was performed on 66 deep neck infections in patients admitted for diagnosis and treatment at Asan medical center from June 1994 to December 2000. Results : Age of the patients varied from 1 to 86-year-old and sex ratio of male to female was 1.2:1. Most frequently involved site was submandibular space (21.2%). Most common cause of infection was dental disease (28.8%). The isolated pathogenic organisms were Streptococcus species in 19 cases, Staphylococcus species in 7 cases, Klebsiella in 5 cases, mixed infection of Staphylococcus and Klebsiella in 3 cases and a case of Corynebacterium. 51 cases were treated surgically, 15 cases were medically. Mean duration of admission was 9.6 days in cases of single space infection, 17.5 days in multiple spaces, 8.1 days when the infection resulted in cellulitis, 13.4 days in abscess, 7.9 days when the infection treated medically and 13.4 days when treated surgically. Conclusion Early diagnosis and treatment is important to manage deep neck infection and the duration of admission was increased when the infection involved multiple spaces.

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A Case of Deep Neck Infection by Tuberculosis in AIDS (AIDS환자에서 발생한 결핵성 심경부감염 1례)

  • Moon Jun Hwan;Choi Ho Young;Lee Deung Ho;Jun Sung Hwan
    • Korean Journal of Bronchoesophagology
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    • v.11 no.1
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    • pp.37-41
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    • 2005
  • Deep neck infections mean infection in the potential spaces and facial planes of the neck, either abscess formation or cellulitis. Deep neck infections are caused by dental, salivary gland, pharyngeal and tonsillar infections. Sometimes, deep neck infection may be caused by tuberculosis in case of immunodefiecient patients. Acquired immunodeficiency syndrome(AIDS) is a disease associated with defective cell-mediated immunity after infected with human immunodeficiency virus(HIV). The chance of opportunistic infection in patients of AIDS increases as the level of immunodeficienty progresses. Human immunodeficiency virus infection is the most single significant risk factor for progression of pulmonary tuberculosis to extrapulmonary sites. In patients infected with HIV, the rate of extrapulomonary tuberculosis rises upto $60\%$. We report a case of a 47 year old male patient with AIDS associated with deep neck infection by tuberculosis.

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Clinical Study of Conservative Therapy of Deep Neck Infection (심경부 감염의 보존적 치료에 대한 임상적 고찰)

  • 김보형;임대준;강성호;류재면;조영찬;오대현;김요한
    • Korean Journal of Bronchoesophagology
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    • v.9 no.2
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    • pp.49-55
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    • 2003
  • Background and Objectives : Traditionally incision and drainage is considered to be standard treatment of deep neck infection. But antibiotics and diagnostic technique are developed recently, there are reports that conservative therapy could be as successful as open surgical drainage. The purposes of this study has been to assess clinical feature between surgical therapy group and conservative therapy group through statistical analysis. Materials and Methods : A retrospective study was performed on 46 cases of deep neck space abscess, which were confirmed CT, in patients admitted from January 1999 to June 2002. Result : About 80% of all are treated with conservative therapy. Erythrocyte sediment rate, volume of abscess and duration of hospitalization of conservative therapy group are decreased than those of surgical therapy group. Conclusions : Conservative therapy is expected to be effective on treatment of early stage, small sized deep neck infection. But its complication can lead to serious condition of patient it should be done under meticulous observation.

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Relationship of Glucose Control and Wound Infection in Diabetics after Lumbar Spine Surgery

  • Kim, Byung-Ook;Kim, Seok-Won;Lee, Seung-Myung;Shin, Ho
    • Journal of Korean Neurosurgical Society
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    • v.37 no.1
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    • pp.44-47
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    • 2005
  • Objective: The purpose of this study is to investigate the elevated blood glucose levels in the postoperative period are associated with an increased risk of deep wound infection in diabetic individuals undergoing lumbar spine surgery. Methods: Of 2896 patients who underwent lumbar spine operations by one surgeon between 1993 and 2002, 329(11.4%) were diabetics. The rate of deep wound infections in diabetic patients was 6.4%, versus 3.2% for nondiabetics. 152 patients had their operation before implementation of the protocol and 177 after implementation. Charts of the diabetic patients were reviewed. Mean blood glucose levels were calculated from documented results of finger-stick glucometer testing. Results: Twenty-one diabetic patients suffered deep wound infection. Infected diabetic patients had a higher mean blood glucose level through the first 2 postoperative days than noninfected patients($230{\pm}6.9$ versus $175{\pm}3.8mg/dL$; p<0.003) and had a long operation time($216{\pm}57.9$ versus $167.5{\pm}42.2$ minute; p<0.05). Multivariable logistic regression showed that mean blood glucose level for the first 2 postoperative days, long operation time, and use of the instrumentation(p<0.02) were all related predictiors of deep wound infection. Institution of a protocol of postoperative continuous intravenous insulin to maintain blood glucose level less than 200mg/dL was began in september 1997. This protocol resulted in a decrease in blood glucose levels for the first 2 postoperative days and a concomitant decrease in the proportion of patients with deep wound infection, from 8.3%(11/132) to 5.1%(10/195) (p<0.02). Conclusion: The incidence of deep wound infection in diabetic patients is reduced after implementation of a protocol to maintain mean blood glucose level less than 200mg/dL in the immediate postoperative period.

Deep Neck Infection Caused by Infected Dentigerous Cyst: A Case Report

  • Kim, Gyeong-Mi;Oh, Ji-Su;You, Jae-Seek;Moon, Seong-Yong;Choi, Hae-In
    • Journal of Oral Medicine and Pain
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    • v.46 no.4
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    • pp.150-154
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    • 2021
  • Deep neck infection (DNI) is a potentially serious pathology that can lead to serious complications and high rate of mortality. Since DNI affects the cervical spaces, which can compromise airway, aggressive antibiotic administration and prompt surgical drainage are essential for recovery. Although most causes of DNI are known to be dental infections, developmental cysts such as dentigerous cysts are relatively few causes. In this case, we report a rare patient with severe deep neck space infection caused by infected third molar with dentigerous cyst.

Deep Neck Space Infection Caused by Keratocystic Odontogenic Tumor

  • Oh, Ji-Su;Kim, Su-Gwan;You, Jae-Seek;Min, Hong-Gi;Kim, Ji-Won;Kim, Eun-Sik;Kim, Cheol-Man;Lim, Kyung-Seop
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.36 no.2
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    • pp.73-77
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    • 2014
  • Keratocystic odontogenic tumor (KCOT) is a benign cystic intraosseous tumor of odontogenic origin. An infection of a KCOT is not common because KCOT is a benign developmental neoplasm. Moreover, a severe deep neck space infection with compromised airway caused by infected KCOT is rare. This report presents a 60-year-old male patient with a severe deep neck space infection related to an infected KCOT due to cortical bone perforation and rupture of the exudate. Treatment of the deep neck space infection and KCOT are reported.