Influence of diabetes mellitus on deep neck infection

Lin, H.-T.; Tsai, Stella Chin‐Shaw; Chen, Y.-L.; Liang, Jingang

doi:10.1017/s0022215106001149

Cited by 54 publications

(45 citation statements)

References 8 publications

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“…From the above comparisons, diabetics had prolonged hospitalizations similar to many studies, [2,3,15,16,17] needed surgical intervention more often, [3] showed poor response to conservative medical management, [15,17] and had higher chance of developing complications. [3,15,17] Hence, diabetics with DNI must be managed more aggressively with medical and surgical intervention and careful blood glucose monitoring. [17] Clinical Features According to most of the recent studies, pain and swelling of the neck are the most prevalent symptoms.…”

Section: Co Morbiditiessupporting

confidence: 55%

“…[3,15,17] Hence, diabetics with DNI must be managed more aggressively with medical and surgical intervention and careful blood glucose monitoring. [17] Clinical Features According to most of the recent studies, pain and swelling of the neck are the most prevalent symptoms. [2,15,16,18,19,20] In this study, pain was the most common presenting complaint, which was followed by dysphagia and neck swelling.…”

Section: Co Morbiditiesmentioning

confidence: 99%

“…11 Therefore it helps to decide on the need for a surgical intervention. 17 Cases with radiological findings suggestive of cellulitis are supposed to respond earlier to medical treatment and have better prognosis compared to abscesses which are more aggressive and may need surgical treatment. 10 However, ultrasonography does not provide good anatomical data and may fail to identify deeply located abscess and hence does not help in deciding on surgical intervention.…”

Section: Imagingmentioning

confidence: 99%

“…10 However, ultrasonography does not provide good anatomical data and may fail to identify deeply located abscess and hence does not help in deciding on surgical intervention. 17 Magnetic resonance imaging and CECT have similar prognostic value, but MRI is more expensive and requires prolonged scanning time, hence not routinely performed in DNI. 17 Even though far inferior to CECT, a routine X-ray was taken for all the patients as a cheaper initial investigation which helped to identify DNI with poorer anatomical details.…”

Section: Imagingmentioning

confidence: 99%

“…17 Magnetic resonance imaging and CECT have similar prognostic value, but MRI is more expensive and requires prolonged scanning time, hence not routinely performed in DNI. 17 Even though far inferior to CECT, a routine X-ray was taken for all the patients as a cheaper initial investigation which helped to identify DNI with poorer anatomical details. Based on this evidence, we did CECT for 76% of our patients which were conclusive.…”

Section: Imagingmentioning

confidence: 99%

See 4 more Smart Citations

Clinical Profile of Deep Neck Space Infections in a Tertiary Care Hospital in Kerala

Santhosh¹,

Yadev²,

Arun³

et al. 2017

jemds

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BACKGROUNDDeep Neck Infection (DNI) is a potentially life threatening disease commonly seen in middle aged men. Associated co-morbidities like Diabetes Mellitus, Hypertension and Cardiac diseases result in life threatening complications. DNI are observed in the population who are addiction to drugs, smoking and alcoholism. DNI are associated with complications like mediastinitis, Pneumothorax, pericarditis, renal failure and multi organ failure. The present study is a prospective clinical profile study of DNIs treated in a Tertiary Care Hospital in Kerala. Aim-To describe the profile of aetiology, clinical features and outcomes of patients with DNIs.

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Section: Co Morbiditiessupporting

confidence: 55%

Section: Co Morbiditiesmentioning

confidence: 99%

Section: Imagingmentioning

confidence: 99%

Section: Imagingmentioning

confidence: 99%

Section: Imagingmentioning

confidence: 99%

See 3 more Smart Citations

Clinical Profile of Deep Neck Space Infections in a Tertiary Care Hospital in Kerala

Santhosh¹,

Yadev²,

Arun³

et al. 2017

jemds

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Clinical and bacteriological influence of diabetes mellitus on deep neck infection: Systematic review and meta‐analysis

et al. 2014

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Pathogens and Prognosis of Deep Neck Infection in End‐Stage Renal Disease Patients

et al. 2021

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Objectives/Hypothesis To examine the pathogenic bacterial spectra and prognosis of deep neck infection (DNI) in end‐stage renal disease (ESRD) patients. Study Design Retrospective study. Methods Patients diagnosed with DNI between 2004 and 2015 in Chang Gung Memorial Hospital were enrolled and divided into three groups, namely ESRD‐DNI, chronic kidney disease (CKD)‐DNI, and non‐CKD‐DNI. Differences in pathogenic bacteria, treatment, and prognosis were compared across the three groups. Results The bacterial spectra differed among the three groups. The main three facultative anaerobic or aerobic bacteria causing ESRD‐DNIs were methicillin‐resistant Staphylococcus aureus (MRSA; 25.4%), methicillin‐susceptible S. aureus (MSSA; 14.1%), and Klebsiella pneumoniae (KP; 12.7%). For CKD‐DNIs, they were KP (23.5%), Viridans streptococci (VS; 23.5%), and MSSA (14.7%). For non‐CKD‐DNIs, they were VS (31.7%), KP (17.2%), and coagulase‐negative staphylococci (8.0%). Compared with the other groups, the ESRD‐DNI group had higher white blood cell and C‐reactive protein levels, longer hospital stays, more frequent admissions to the intensive care unit, more mediastinal complications, and a significantly higher mortality rate. Conclusions The ESRD‐DNI group exhibited more severe disease activity and higher mortality compared with those of the CKD‐DNI and non‐CKD‐DNI groups. MRSA was the leading pathogen for patients with ESRD‐DNI. Physicians must implement strategies for the early detection of MRSA to accurately prescribe antibiotics and prevent nosocomial transmission. Level of Evidence 4 Laryngoscope, 132:1403–1409, 2022

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Influence of diabetes mellitus on deep neck infection

Abstract: Diabetic DNI differs from non-diabetic DNI in several aspects and is associated with a higher morbidity. A greater than normal haemoglobin A1c level was commonly observed.

Cited by 54 publications

References 8 publications

Clinical Profile of Deep Neck Space Infections in a Tertiary Care Hospital in Kerala

Clinical Profile of Deep Neck Space Infections in a Tertiary Care Hospital in Kerala

Clinical and bacteriological influence of diabetes mellitus on deep neck infection: Systematic review and meta‐analysis

Pathogens and Prognosis of Deep Neck Infection in End‐Stage Renal Disease Patients

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