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Journals / Kulak Burun Boğaz İhtisas Dergisi / 2003 / Cilt: 11 - Sayı: 2

The adverse effect of gas formation on prognosis in a patient with deep neck infection

Derin boyun enfeksiyonlu bir olguda gaz oluşumunun prognoza olumsuz etkisi

HASAN YASAN
Kemal UYGUR
MUSTAFA TÜZ
Harun DOĞRU
Pages
56–59
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This case emphasizes how urgent drainage is when gas formation is detected in deep neck infections, with inevitable poor prognosis with antibiotic treatment alone.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:A seventy-one-year-old vvoman was hospitalized with a suspicion of deep neck infection and poor general health.
📊
Key Findings & Data:She had been receiving treatment for hepatitis, diabetes mellitus, and cardiac failure and had a history of tooth ache and severe neck pain lasting for the past 10 days.
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Conclusion & Impact:This case emphasizes how urgent drainage is when gas formation is detected in deep neck infections, with inevitable poor prognosis with antibiotic treatment alone.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Periodontal apse · Tedavi başarısızlığı · Apse

Abstract

A seventy-one-year-old vvoman was hospitalized with a suspicion of deep neck infection and poor general health. She had been receiving treatment for hepatitis, diabetes mellitus, and cardiac failure and had a history of tooth ache and severe neck pain lasting for the past 10 days. She had been admitted to another center where she had received antibiotic treatment for five days for widespread swelling in the neck and lower extremities, fatigue, and difficulty in breathing and swallowing. Upon admission, computed tomography showed gas formation in the neck and facial regions. Prompt abscess drainage was performed and intense treatment with antibiotics was continued. Despite ali efforts, the patient died on the second day of hospitalization from cardiopulmonary arrest. This case emphasizes how urgent drainage is when gas formation is detected in deep neck infections, with inevitable poor prognosis with antibiotic treatment alone.

Özet

Yetmiş bir yaşındaki kadın hasta, derin boyun enfeksiyonu ve genel durum bozukluğu öntanıları ile yatırıldı. Öyküsünde, 10 gün önce başlayan diş ağrısı ve bundan iki gün sonra ortaya çıkan şiddetli boğaz ağrısı vardı. Hastaya, boyunda ve alt ekstremitelerde yaygın şişlik, halsizlik, nefes darlığı ve yutma güçlüğü nedeniyle başka bir merkezde beş gün yoğun antibiyotik tedavisi uygulanmıştı. Boyun ve yüz bölgesinde bilgisayarlı tomografide gaz izlenmesi üzerine hastaya drenaj yapıldı ve yoğun antibiyotik tedavisine devam edildi. Ancak hepatit, diyabet ve kalp yetmezliği gibi sistemik hastalıkları olan hasta, tüm destek tedavileri ve drenaja rağmen ikinci günde kardiyopulmoner arrest sonucu yaşamını yitirdi. Derin boyun enfeksiyonlarında sıvı ve gaz oluşumu görüldüğünde, drenaj geciktirilmeden yapılmalıdır; aksi halde yoğun antibiyotik tedavisine rağmen prognoz kötü seyirli olabilir.

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Cite This Article

YASAN, H., UYGUR, K., TÜZ, M., DOĞRU, H. (2003). The adverse effect of gas formation on prognosis in a patient with deep neck infection. Kulak Burun Boğaz İhtisas Dergisi, Cilt: 11 - Sayı: 2, 56–59. https://ajindex.com/articles/342937

References (14)

  1. Forrest LA, Weed HG. Deep neck infection. In: Cummings CW, Fredrickson JM, Harker LA, Krause CJ, Richardson MA, Schuller DE, editors. Otolaryngology head & neck surgery. 3rd ed. St. Louis: Mosby; 1998. p. 1700-1
  2. Schroeder DC, Sarha ED, Hendrickson DA, Healey KM. Severe infections of the head and neck resulting from gas-forming organisms: report of case. J Am Dent Assoc 1987;114:65-8
  3. Mohadjer C, Argat M, Maier H, Weidauer H. Gas producing anaerobic infection of the neck. Laryngorhinootologie 1995;74:322-4, [Abstract] 4. Jovic R, Vlaski L, Komazec Z, Canji K. Results of treatment of deep neck abscesses and phlegmons. Med Pregl 1999^2:402-8. [Abstract] 5. Uram J, Hauser MS. Deep neck and mediastinal necrotizing infection secondary to a traumatic intubation: report of a case. J Oral Maxillofac Surg 1988;46:788-91
  4. Hadfield PJ, Motamed M, Glover GW. Synergistic necrotizing cellulitis resulting from peri-tonsillarabscess. J Laryngol Otol 1996;110:887-90
  5. Tosun F, Akkaya A, Sağlam M, Özkaptan Y. Derin boyun enfeksiyonlu hastalarda retrospektif bir değerlendirme. Türkiye Klinikleri KBB 2001;l:134-40
  6. Miman MC, Öncel S, Kakioglu T, Kizilay A, Aktas D, Ozturan O. Clinical approach to deep neck infections. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2001;8:206-13
  7. Schliamser SE, Berggren DV, Kercoff Y. Ludwig's angina and associated systemic complications. Bacteriology and current therapy. Scand J Infect Dis 1986;18:477-81
  8. Onerci M, Sennaroglu L, Bayar N. Unusual complication of temporomandibular joint surgery: cervicome-diastinal abscess. Int J Pediatr Otorhinolaryngol 1995; 33:159-62
  9. Şafak MA, Haberal I, Kilic D, Gocmen H. Necrotizing fasciitis secondary to peritonsillar abscess: a new case and review of eight earlier cases. Ear Nose Throat J 2001;80:824-30,833
  10. Kirse DJ, Roberson DW. Surgical management of retropharyngeal space infections in children. Laryngoscope 2001;lll:1413-22
  11. Shoemaker M, Lampe RM, Weir MR. Peritonsillitis: abscess or cellulitis? Pediatr Infect Dis 1986;5:435-9
  12. Beck HJ, Salassa JR, McCaffrey TV, Hermans PE. Life-threatening soft-tissue infections of the neck. Laryngoscope 1984;94:354-62
  13. Wysoki MG, Santora TA, Shah RM, Friedman AC. Necrotizing fasciitis: CT characteristics. Radiology 1997;203:859-63
  14. Becker M, Zbaren P, Hermans R, Becker CD, Marchal F, Kurt AM, et al. Necrotizing fasciitis of the head and neck: role of CT in diagnosis and management. Radiology 1997;202:471-6