Multiple Deep Neck Abscesses with Upper Airway Obstruction at Abdul Moeloek Hospital: A Case Report

Authors

  • Beni Wibowo Universitas Lampung
  • Fivien Fedriani

DOI:

https://doi.org/10.53089/medula.v13i5.797

Keywords:

Deep neck abscess, retropharyngeal abscess, submandibular abscess, upper airway obstruction

Abstract

Deep neck infection is a serious but treatable disease, this infection affects the deep cervical space with characteristics of rapid progression and is life threatening if complications occur. In this case report, we present an emergency case of a woman, 25 years old, with multiple deep neck abscesses which resulted in upper airway obstruction at Abdul Moeloek Regional General Hospital. The patient came with complaints of sore throat when swallowing since 5 days before entering the hospital. These complaints appear accompanied by fever, difficulty opening the mouth, swelling in the lower jaw to the neck, lower molar toothache, difficulty eating, and hoarseness. The patient has a history of intermittent toothache within the last 1 year. Laboratory results showed leukocytosis with an increase in segmental neutrophils. As well as AP and lateral neck soft tissue x-rays, it appears that the submandibular soft tissue mass extends into the retropharynx. Lump aspiration found pus. The main treatments given are abscess drainage incision, tracheostomy to free the airway, antibiotics, anti-inflammatories, supportive therapy, abscess care and post-tracheostomy care.

Author Biography

Fivien Fedriani

 

 

References

Neaman-Cheney KA, Carroll EB. 2021. Persistent Submandibullar Abscess. American Family Physician. 103(1).

Alvarado AP, Machado JAL, Martin EC, Quintero JZ, Ridriguez IA, Lizarraga LL. Prevalence, morbidity and mortality of deep neck abscess in a tertiary hospital from Northwestern Mexico. 2021; 11(41):41-46. DOI: 10.2478/rjr-2021-0008

Junior AFDS, Rocha GSDM, Araujo CFDSN, Franco A, Silva RF. Deep neck infection after third molar extraction: A case report. Journal of Dental Research, Dental Clinics, Dental Prospects. 2017; 11(3) : 166-169.

Wates E, Higginson J, Kichenaradjou A, McVeigh K. A severe deep neck odontogenic infection not prioritised by the emergency department triage system and National Early Warning Score. BMJ Case Report. 2018. doi:10.1136/bcr-2018-224634

Puttamadaiah GM, Satish HS, Viswanatha B. Deep Neck Infections : Presentations and Management. Orissa Journal of Otolaryngology and HNS. 2017; 11(1):1-6.

Lizar EN, Yotosudarmo H, Imanto M. Abses Parafaringeal, Submandibular dan Subtracheal dengan Komplikasi Fistula Faringokutan. Majority. 2017; 6(3) : 69-74.

Santosa A. Abses Submandibula dengan Komplikasi Mediastinitis. Warmadewa Medical Journal. 2017;2(2):77-81.

Fachrudin D. “Abses Leher Dalam “dalam Buku Ajar Ilmu Kesehatan Telinga Hidung Tenggorok Kepala & Leher Edisi Ketujuh. Jakarta : FK UI. 2020.

Ali R, Owolabi M, Patel A, Hussain M, Slim J. Late Evolution of Deep Neck Space Abscess: Was Intubation the Cause?. European Journal of Case Reports in Internal Medicine. 2022. DOI: 10.12890/2022_003376.

McDowell RH, Hyser MJ. 2022. Neck Abscess. StatPearls.

Galassi S, Meranda R, Santis SD. First case of deep neck and descending mediastinal abscess caused by dentoalveolar Eggerthia catenaformis infection. National Journal of Maxillofacial Surgery. 2022; 13(1):111-113.

Treviño-Gonzalez JL, Maldonado-Chapa F, González-Larios A, Morales-Del Angel JA, Soto-Galindo G, A, Zafiro García-Villanueva JM: Deep Neck Infections: Demographic and Clinical Factors Associated with Poor Outcomes. ORL 2022;84:130-138. doi: 10.1159/000517026

doviča A, Veidere L, Ronis M, Sumeraga G. Deep neck infections: review of 263 cases. Otolaryngol Pol. 2017 Oct 30;71(5):37-42.

Lorrot M, Haas H, Hentgen V, Van Den Abbeele T, Bonacorsi S, Doit C, Cohen R, Grimprel E. [Antibiotherapy of severe ENT infections in children: peripharyngeal abscesses]. Arch Pediatr. 2013 Nov;20 Suppl 3:e1-4.

Behari S, Nayak SR, Bhargava V, Banerji D, Chhabra DK, Jain VK. Craniocervical tuberculosis: protocol of surgical management. Neurosurgery. 2003 Jan;52(1):72-80; discussion 80-1.

Alquamam M, Gonzalez FJ, Kondamudi NP. 2022. Deep Neck Infection. StatPearls.

Jain H, Knorr TL, Sinha V. Retropharyngeal Abscess. StatPearls. 2022.

Esposito S, dkk. Retropharyngeal, Parapharyngeal and Peritonsillar Abscesses. Children. 2022. 9(618):1-13.

Balasubramanian, A.; Shah, J.R.; Gazali, N.; Rajan, P. Life-threatening para-pharyngeal and retropharyngeal abscess in an infant. BMJ Case Rep. 2017, 2017, bcr2017221269.

García Callejo J, Redondo Martínez J, Civera M, Verdú Colomina J, Pellicer Zoghbi V, Martínez Beneyto MP. Management of thyroid gland abscess. Acta Otorrinolaringol Esp (Engl Ed). 2019 Mar-Apr;70(2):61-67.

Ge XY, Liu LF, Lu C, Zhang AB, Wang ZX. [The diagnosis and treatment of neck abscess and mediastinal abscess following esophageal perforation induced by esophageal foreign body]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Feb;32(4):292-294.

Rijal S, Romdhoni AC. Bacteria Pattern, Results of Antibiotic Sensitivity Test, and Complications of Deep Neck Abscess Patients in Dr. Soetomo General Hospital. Biomolecular and health science journal. 2018; 1(2) : 124-130.

Pardal-Peláez B, Pardal-Refoyo JL, Ochoa-Sangrador C, González-Serrano J, Montero-Martín J and López-Quiles J. Analysis of The Prevalence of Dental Origin of Deep Neck Infections. Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology. 2018; 30: 180-6.

Jawetz. Classification of Bacteria. In: Brooks G, Butel J, Morse S, Carrol K and Mietzner T, (Eds.). Medical Microbiology. New York: Mc Graw Hill, P. 2013; 43-54. 12.

Lee K, Chan Y and Das S. Neck Spaces and Fasciael Planes. In: Gillespie B, (Ed.). Essential Otolaryngology Head And Neck Surgery. USA: Mc Graw Hill Medical P. 2012; 557-64.

Rohilla R, Raina D, Singh M, Ajay, Pandita K, Patwal S. Evaluation of Sphingomonas paucimobilis as an emerging nosocomial pathogen in a teaching hospital in Uttarakhand. Iranian Journal of Microbiology. 2021;13(5) : 617-623.

Ionescu MI, Neagoe DS, Craciun AM, Moldovan OT. The Gram-Negative Bacilli Isolated from Caves—Sphingomonas paucimobilis and Hafnia alvei and a Review of Their Involvement in Human Infections. International Journal of Environmental research and Public Health. 2022;19 (2342) : 1-21.

Lin JN, dkk. Sphingomonas paucimobilis Bacteremia in Humans: 16 Case Reports and a Literature Review. Journal of Microbiology, Immunology and Infection. 2010;43(1):35-42.

Published

2023-07-19

How to Cite

Beni Wibowo, & Fedriani, F. (2023). Multiple Deep Neck Abscesses with Upper Airway Obstruction at Abdul Moeloek Hospital: A Case Report. Medical Profession Journal of Lampung, 13(5), 896-902. https://doi.org/10.53089/medula.v13i5.797

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