Deep neck space infections

Jankowska, B.; Salami, Angelo; Cordone, Gabriela; Ottoboni, Stefano; Mora, Renzo

doi:10.1016/s0531-5131(03)00747-7

Cited by 4 publications

(2 citation statements)

References 5 publications

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“…On the other hand, our finding is compatible with that of an Italian review of 24 deep neck space infections, which found that 67% of the abscesses studied occurred in the submandibular space. 8 It is interesting that in the Italian study, the most common organism isolated from those abscesses was S milleri , which accounted for half of the total.…”

Section: Resultsmentioning

confidence: 93%

Streptococcus Milleri Head and Neck Abscesses: A Case Series

Foxton

Kapila²,

Kong

et al. 2012

Ear Nose Throat J

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Streptococcus milleri infections and abscesses in the headand neck region havebeen previously reported, but there is still a dearth of clinical literature on this topic. To add to the available reports and to promote a better understanding andawareness ofthisclinically important entity, we present this retrospective review of 7 cases of headand neck abscess caused by S milleri infection. We have placed particular emphasis on antibiotic sensitivity patterns. These patients-6 men and 1 woman, aged 28 to 73 years (mean: 42.7)-had been seen at a district general hospital in Gosford, Australia, over a s-month period. Allpatients had undergone surgical intervention andhadbeen treated withintravenous antibiotics. Allthe Smilleri cultures weresensitive topenicillin G, cephalexin, and erythromycin. Six of these patients experienced a resolution oftheirabscess, while 1patientdiedfrom overwhelmingsepsis. We believe thattheinitiation ofpenicillin G, cephalexin, or erythromycin is a goodstarting point for empiric therapy. S milleri should be considered as a causative organism in apatientwhopresents witha head and neck abscess, especially in the presence of a dental infection. Such a patientshould be monitored closely for airway obstruction and distal infectivesequelae. Also in thisarticle, wecompare ourfindings with those reported in two other published series.

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Section: Resultsmentioning

confidence: 93%

Streptococcus Milleri Head and Neck Abscesses: A Case Series

Foxton

Kapila²,

Kong

et al. 2012

Ear Nose Throat J

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show abstract

“…Although SM has gained interest in the last few years, publications for head and neck are rare and the number of published patients is rather low. The number of patients included in up-to-date available reports is 6 [9], 7 [4], 12 [18] and 17 [6] in adult cohorts and 16 in a paediatric cohort [8]. But in all these reports, the aetiologies and germs are heterogeneous.…”

Section: Discussionmentioning

confidence: 99%

Deep neck space abscesses of dental origin: the impact of Streptococcus group Milleri

Terzic

Scolozzi

2013

Eur Arch Otorhinolaryngol

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In recent years, there has been rising interest in Streptococcus group Milleri (SM) because high mortality rates have been related to it. In case of deep neck infections (DNI), whatever the origin, mortality rates as high as 26% were reported. But there are no data available for DNI with SM of purely dental origin. The aim of our article was to describe and analyse DNI of purely dental origin involving on one hand SM and on the other hand infections without presence of SM. We compared these two groups and statistically investigated if there were differences in clinical presentation (age, mouth opening, length of hospital stay, laboratory parameters) or clinical behaviour (re-operation, re-hospitalisation, secondary osteomyelitis, stay at intensive care, length of antibiotic treatment, presence of resistances against antibiotics, incapacity to work). For this, we retrospectively searched medical records of our institution for all purulent DNI treated from 2004 till 2012. We found 81 patients meeting all inclusion criteria. Thirty-four patients had involvement of SM, 47 did not. The only statistically significant difference between the SM group and the non-SM group was the length of incapacity to work. All other parameters were non-significant. Furthermore, there were no fatalities. In conclusion, the clinical importance of this article is that patients with deep neck abscesses of purely dental origin involving SM do not need more or different care when compared to all other DNI of dental origin.

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A Review of the Microbiology of Submandibular Space Infections

Maharaj

2018

J. Maxillofac. Oral Surg.

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Deep neck space infections

Cited by 4 publications

References 5 publications

Streptococcus Milleri Head and Neck Abscesses: A Case Series

Streptococcus Milleri Head and Neck Abscesses: A Case Series

Deep neck space abscesses of dental origin: the impact of Streptococcus group Milleri

A Review of the Microbiology of Submandibular Space Infections

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