medigraphic.com
ISSN 2448-8909 (Print)

1999, Number 4

<< Back

Med Crit 1999; 13 (4)

Deep abscesses of neck. Report of five cases and literature review

Tejeda RME, Rodríguez TJ, Gayosso CO

Language: Spanish
References: 12
Page: 142-145
PDF size: 96.96 Kb.


ABSTRACT

Objective: To report five patients with deep abscesses of neck.
Design: Case series study.
Setting: Multidisciplinary ICU of a teaching hospital of Mexico City.
Patients: Five patients, two women and three men, mean age 48.4 ± 24.8 years (range 17-84 years) admitted to the ICU from 1997 to 1998.
Interventions: None.
Results: The germs isolated were Streptococcus, C. albicans, Pseudomona, Staphylococcus, Klebsiella and Salmonella. ICU stay was 5.8 ± 3.8 days. Two patients developed multiorganic failure and they died. All the patients received antibiotics (2-4) and the abscesses were drainaged.
Conclusion: Deep abscesses of neck are associated with multiorganic failure and high mortality in our population.


REFERENCES

  1. Allen D. A re-evaluation of the role of tracheostomy in Ludwig's angina. J Oral Maxillofac Surg 1990; 43: 436-9.

  2. Sparks CJ. Ludwig’s angina respiratory arrest in the Solomon Islands. Anesth Intens Care 1993; 21:460-2.

  3. Macdougalla. Audit of the treatment of tonsillar and peritonsillar sepsis in an ear, nose and throat unit. J Laryngoal & Ottology 1995; 109: 1-3.

  4. Rapaport Y. Cervical necrotizing fascitis of odontogenic origin. Oral Surg Med Oral Pathol 1991; 72: 155-8.

  5. Pearson CR. Two cases of lateral sinus thrombosis presenting with extracranial head and neck abscesses. J Laryngol & Otology 1995; 108: 779-82.

  6. Mohamed I. Cervical cellulitis and mediastinitis caused by odontogenic infection. J Oral Maxillofac Surg 1995; 53: 203-8.

  7. Damn F. Necrotizing soft-tissue infections of dental origin. J Oral Maxillofac Surg 1990; 48: 1104-8.

  8. Net A, Mancebo J. Insuficiencia renal en choque y falla orgánica. Barcelona: Mosby, 1992; 143-55.

  9. Mizuno I. Temporal necrotizing infection of dental origin. J Oral Maxillofac Surg 1993; 78-81.

  10. Johnson JV. Use of silicone drains in the management of cervicofacial infections. J Oral Maxillofacial Surg 1992; 50: 911-2.

  11. Alusi GH. Bleeding after tonsillectomy in seven von Willebrand’s disease. J Laryngology & Otology 1995; 109: 437-9.

  12. Dirod DA. Risk factors for complications in contamined head and neck surgical procedures. Head-Neck 1995; 17: 7-13.




2020     |     www.medigraphic.com