Infecções cervicais profundas: análise de 80 casos

Suehara, Alexandre Babá; Gonçalves, Antônio José; Alcadipani, Fernando Antônio Maria Claret; Kavabata, Norberto Kodi; Menezes, Marcelo Benedito

doi:10.1590/s0034-72992008000200016

Cited by 13 publications

(1 citation statement)

References 23 publications

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“…A associação de penicilina com metronidazol é bastante empregada nos casos de infecções severas, com presença de coleção purulenta, pelo fato de o metronidazol combater com eficácia as bactérias anaeróbias. Contudo, a antibioticoterapia sozinha não parece ser eficaz no tratamento de infecções cervicais profundas, sendo necessária a drenagem cirúrgica (SUEHARA et al, 2008).…”

Section: Introductionunclassified

Mediastinite descendente necrosante pós-angina de Ludwig: relato de caso

Conceição¹,

Moureira²,

Ribeiro³

2019

cmbio

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Introdução: a mediastinite necrosante descendente é um processo infeccioso grave do mediastino e pode ser originária de uma infecção odontogênica, apresentando; alta taxa de mortalidade. O cirurgião-dentista deve buscar estratégias para prevenir focos infecciosos, diminuindo a incidência de infecções odontogênicas graves que se disseminem pelos espaços cervicofaciais e torácicos. Objetivo: relatar caso de um paciente com diagnóstico de mediastinite necrosante pós-angina de Ludwig, descrever suas manifestações clínicas e a conduta terapêutica odontológica adotada. Relato de caso: paciente, 31 anos, sexo masculino, foi admitido referindo sintomatologia dolorosa no dente 3.8, que evoluiu para aumento de volume em região cervical, associado à febre e disfagia progressiva. Ao exame físico extraoral, observam-se sinais de disseminação para os espaços cervicofaciais e torácicos. Após exames complementares, o diagnóstico revela a infecção, associada à angina de Ludwig, secundária à pericoronarite. O tratamento foi analgesia e antibioticoterapia por via venosa. Após remissão dos sintomas, o paciente recebeu alta hospitalar em bom estado e foi realizada exodontia do dente 3.8. Conclusão: a mediastinite necrosante é uma patologia rara que pode levar a óbito, se não tratada adequadamente. O cirurgião-dentista deve estar consciente da possibilidade de disseminação pelos espaços faciais e mediastinais dos processos infecciosos de origem odontogênica e estar apto para tratar corretamente os casos antes, que eles acarretem grande risco à vida dos pacientes.

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Section: Introductionunclassified

Mediastinite descendente necrosante pós-angina de Ludwig: relato de caso

Conceição¹,

Moureira²,

Ribeiro³

2019

cmbio

View full text Add to dashboard Cite

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A Perspective of Clinical Behaviour and Management of Deep Neck Space Infections (DNSI): The Clinical Conundrum

Pandey

Bansal²,

Maithani

et al. 2018

Indian J Otolaryngol Head Neck Surg

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A Study on Deep Neck Space Infections

Priyamvada

Motwani

2019

Indian J Otolaryngol Head Neck Surg

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Deep neck space infections (DNSI) are serious diseases that involve several spaces in the neck. These are commonly seen in low socioeconomic group with poor oral hygiene, and nutritional disorders. These are bacterial infections originating from the upper aerodigestive tract. The incidence of this disease was relatively high before the advent of antibiotics. Treatment of DNSI includes antibiotic therapy, airway management and surgical intervention. Management of DNSI is traditionally based on prompt surgical drainage of the abscess followed by antibiotics or nonsurgical treatment using appropriate antibiotics in the case of cellulitis. This study was conducted to investigate the age and gender, clinical symptoms, site involved, etiology, co-morbidities, bacteriology, complications and outcomes in the patients of DNSI. A prospective study of deep neck space infections was conducted during the period July 2017 to July 2018 on the patients who attended the outpatient department and were admitted as inpatient in Safdarjung hospital, New Delhi. 40 Cases with DNSI all ages and both genders were included in the study. Patients who didn't require surgical intervention to drain pus were excluded. All parameters including age, gender, co-morbidities, presentation, site, bacteriology, complications, and investigations were studied. Due to advent of antibiotics, deep neck space infections are in decreasing trend. The common age group found to be affected is in 2nd and 3rd decade in our study. Out of all deep neck space infections, submandibular space infections were common (37.5%) followed by peritonsillar infections (12.5%). Infection of deep neck space remains fairly common and challenging disease for clinicians. Prompt recognition and treatment of DNSI are essential for an improved prognosis. Odontogenic and tonsillopharyngitis are the commonest cause. Key elements for improved results are the prompt recognition and early intervention. Special attention is required to high-risk groups such as diabetics, the elderly and patients with underlying systemic diseases as the condition may progress to life-threatening complications.

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Infecções cervicais profundas: análise de 80 casos

Cited by 13 publications

References 23 publications

Mediastinite descendente necrosante pós-angina de Ludwig: relato de caso

Mediastinite descendente necrosante pós-angina de Ludwig: relato de caso

A Perspective of Clinical Behaviour and Management of Deep Neck Space Infections (DNSI): The Clinical Conundrum

A Study on Deep Neck Space Infections

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