Deep neck infections

Anitra S. Birnbaum, Jeremy D. Gradon

    Research output: Chapter in Book/Report/Conference proceedingChapter

    Abstract

    INTRODUCTION Infections of the various deep spaces of the neck are uncommon. However, when they do occur, they are often life threatening, and even stable-appearing patients are at grave risk for sudden clinical decompensation. This degree of clinical severity is related to both the anatomic nature of the space (Figure 10.1) involved with numerous adjacent critical organs and structures being present as well as the nature of the hosts themselves. Patients with such infections are frequently diabetic or immunecompromised in some other way often having a history of injection drug use, neutropenia, or steroid use. There is often a dental source of these infections, and underlying poor dentition is commonly encountered. On rare occasions, deep neck space infection may complicate head and neck cancers or residual dentiginous cysts or lateral cleft. An example of a deep neck infection of the lateral pharyngeal space in a human immunodeficiency virus (HIV)-infected patient is shown in Figure 10.2. Nocardia asteroides grew from the deep neck cultures. These infections are usually polymicrobial, reflecting the oral cavity source of most of these infections. When associated with injection drug use, community-acquired methicillin-resistant Staphylococcus aureus (MRSA) is the most likely organism to be encountered. The microbiology of these infections is shown in Table 10.1.

    Original languageEnglish (US)
    Title of host publicationClinical Infectious Disease
    PublisherCambridge University Press
    Pages73-76
    Number of pages4
    ISBN (Print)9780511722240, 9780521871129
    DOIs
    StatePublished - Jan 1 2010

    Fingerprint

    Neck
    Infection
    Periodontal Cyst
    Nocardia asteroides
    Injections
    Dentition
    Methicillin-Resistant Staphylococcus aureus
    Head and Neck Neoplasms
    Microbiology
    Neutropenia
    Coinfection
    Pharmaceutical Preparations
    Mouth
    Tooth
    Steroids
    HIV

    ASJC Scopus subject areas

    • Medicine(all)

    Cite this

    Birnbaum, A. S., & Gradon, J. D. (2010). Deep neck infections. In Clinical Infectious Disease (pp. 73-76). Cambridge University Press. https://doi.org/10.1017/CBO9780511722240.011

    Deep neck infections. / Birnbaum, Anitra S.; Gradon, Jeremy D.

    Clinical Infectious Disease. Cambridge University Press, 2010. p. 73-76.

    Research output: Chapter in Book/Report/Conference proceedingChapter

    Birnbaum, AS & Gradon, JD 2010, Deep neck infections. in Clinical Infectious Disease. Cambridge University Press, pp. 73-76. https://doi.org/10.1017/CBO9780511722240.011
    Birnbaum AS, Gradon JD. Deep neck infections. In Clinical Infectious Disease. Cambridge University Press. 2010. p. 73-76 https://doi.org/10.1017/CBO9780511722240.011
    Birnbaum, Anitra S. ; Gradon, Jeremy D. / Deep neck infections. Clinical Infectious Disease. Cambridge University Press, 2010. pp. 73-76
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