Intravenous Antibiotic Therapy for Deep Neck Abscesses Defined by Computed Tomography

McClay, John E.; Murray, Alan D.; Booth, Timothy N.

doi:10.1001/archotol.129.11.1207

Cited by 121 publications

(96 citation statements)

References 25 publications

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“…Mcclay et al [35] showed resolution of deep neck abscesses with intravenous antibiotics alone, but in our case there was a radiological evidence of spinal cord compression by the expanding abscess. So with this in mind and together with the family's objection to invasive surgery, we opted for aspiration of the abscess to obtain a sample and indirectly decompress the spinal cord.…”

Section: Rationale For Treatment and Evidence-based Literaturecontrasting

confidence: 60%

A large tuberculosis abscess causing spinal cord compression of the cervico-thoracic region in a young child

et al. 2013

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Introduction Despite numerous descriptive publications, the guidelines for treatment of cervical spinal tuberculosis (TB) are not very clear. The authors report a case of a young girl with cervico-thoracic spinal TB extending from C5 to T3 vertebrae presenting with weakness of the right hand and unsteady gait. Case report An 11-year-old female who is an immigrant to the UK from Afghanistan, presented to our clinic with a 10-day history of difficulty in walking with an unsteady gait and 3-month history of progressive weakness in both her arms, the right side more affected than the left. Her immunisation history was unclear. Examination of the arms showed bilateral thenar and hypothenar wasting, more so on the right than the left. An MRI scan revealed a large para-spinal abscess extending from C3/4 to T4/5 with a significant anterior epidural cord compression from C5/6 to

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Section: Rationale For Treatment and Evidence-based Literaturecontrasting

confidence: 60%

A large tuberculosis abscess causing spinal cord compression of the cervico-thoracic region in a young child

et al. 2013

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“…Although CT is helpful both in determining the presence and location of neck infections in children, it is less helpful in differentiating abscess from lymphadenitis and cellulitis. We found false positive rates as 6.5% while Publications have reported false-positive rates of up to 25% when CT scans are used to diagnose paediatrics neck abscesses [33] . On the other hand, use of MRI gives improved soft tissue definition without the use of radiation but its use is limited due to the lack of availability and cost.…”

Section: Complicationsmentioning

confidence: 55%

Pediatric Deep Neck Space Abscesses: A Prospective Observational Study

Patigaroo¹,

Patigaroo²

2012

Emergency Medicine

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Pediatric patients with deep neck space abscesses were prospectively followed from 2009 to 2011 in SKIMS MC and Peoples care polyclinic. Observational data were collected regarding age, location and size of abscess, source of infection, organism, antibiotic susceptibility, treatment plan, and rate of complications. A brief review of the literature is included to compare our patient population to what has previously been reported in the literature.

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“…McClay et al claim that children with infections of the deep spaces of the neck can be treated successfully only conservatively (antibiotic therapy) [36]. Similar observations were reported by Page et al, who believe that small retropharyngeal abscesses in children can be treated conservatively [5].…”

Section: Discussion and Literature Reviewmentioning

confidence: 74%

Ropień zagardłowy u 56-letniego mężczyzny – rzadkie powikłanie zębopochodnego stanu zapalnego. Własna propozycja skutecznego drenażu

Sikora¹,

Sielski²,

Stąpor³

et al. 2017

Pomeranian J Life Sci

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Retropharyngeal abscess in adults occurs rarely. In a small number of patients it arises as a complication of odontogenic inflammation, as in the case we describe. The key task in the treatment of patients with retropharyngeal abscess is to make the correct diagnosis. The image examination of choice in adult patients with suspected retropharyngeal abscess should be computed tomography with contrast. After making the correct diagnosis it is necessary to initiate the appropriate treatment (conservative or surgical). In cases treated surgically the effective and free approach to retropharyngeal space is transcervical access. The effective drainage of the retropharyngeal space using the rinsing drain devised by the authors enabled the total evacuation of residual suppurative content and prevented dangerous complications, such as descending necrotic mediastinitis, leading to the recovery of the patient. Keywords: computed tomography with contrast; drainage of retropharyngeal space; retropharyngeal abscess; rinsing drain. ABSTRAKTRopień zagardłowy u osób dorosłych jest schorzeniem występującym rzadko. W niewielkiej liczbie przypadków jest to powikłanie zębopochodnego stanu zapalnego implikowanego przyjmowaniem metotreksatu. Przypadek taki został opisany w niniejszej pracy. W rozpoznaniu ropnia zagardłowego istotną rolę odgrywa diagnostyka obrazowa ze wskazaniem na tomografię komputerową szyi z kontrastem. Po właściwym ustaleniu rozpoznania niezbędne jest szybkie wdrożenie właściwego postępowania terapeutycznego: zachowawczego w postaci antybiotykoterapii o szerokim spektrum, a w uzasadnionych sytuacjach również chirurgicznego. U chorych leczonych chirurgicznie stosuje się przezszyjny dostęp do przestrzeni zagardłowej. W przypadku opisanym w niniejszej pracy zastosowano drenaż przestrzeni zagardłowej za pomocą drenu płuczącego własnej konstrukcji, który umożliwił skuteczne odprowadzenie treści ropnej. Postę-powanie to pozwoliło na uniknięcie niebezpiecznego powikłania, jakim jest zstępujące martwicze zapalenie śródpiersia, i umoż-liwiło całkowite wyleczenie chorego. Słowa kluczowe: dren płuczący; drenaż przestrzeni zagardło-wej; ropień zagardłowy; tomografia komputerowa z kontrastem.

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Intravenous Antibiotic Therapy for Deep Neck Abscesses Defined by Computed Tomography

Abstract: In a select number of clinically stable children, deep neck abscesses diagnosed on contrast-enhanced CT scans using strict radiographic criteria can be effectively treated with intravenous antibiotics alone.

Cited by 121 publications

References 25 publications

A large tuberculosis abscess causing spinal cord compression of the cervico-thoracic region in a young child

A large tuberculosis abscess causing spinal cord compression of the cervico-thoracic region in a young child

Pediatric Deep Neck Space Abscesses: A Prospective Observational Study

Ropień zagardłowy u 56-letniego mężczyzny – rzadkie powikłanie zębopochodnego stanu zapalnego. Własna propozycja skutecznego drenażu

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