Preface

Kliegman, Robert M.; Stanton, Bonita; Geme, Joseph W. St.; Schor, Nina F.

doi:10.1016/b978-1-4377-0755-7.00714-4

Cited by 436 publications

(770 citation statements)

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“…Nedeed to say, deep neck infections sholud also be managed by surgical intervention [1][2][3]5,12,14,18] together with parenterally given antibiotics because antimicrobial therapy alone is mainly insufficient for complete resolution. In this case we present a four month old infant who has had a two-week lasting respiratory tract infection and eventually developed deep neck infection at a very early age, without having fever.…”

Section: Discussionmentioning

confidence: 99%

“…Radiological evaluation is essential before the surgical intervention in order to objectify the extension of the inflammatory process [9,[17][18][19]. Due to high risk of serious complications -septic shock, spontaneous rupture of the abscess with aspiration pneumonia, carotid arthery erosion, suppurative thrombophlebitis of internal jugular veins and mediastinitis, quick and aggressive treatment in the intensive care unit is mandatory [1][2][3][4][5]. Multidysciplinary work-out is desirable and necessary for complete diagnostic and therapeutic management, which was clearly demonstrated in our case report.…”

Section: Discussionmentioning

confidence: 99%

“…Also, H. Influenzae, Klebsiella sp, Mycobacterium tuberculosis and M. avium -intracellulare can be found [1][2][3][4][5][6][7][8]. The patient is frequently febrile, appears toxic, inapetent, irritable, having respiratory distress.…”

Section: Introductionmentioning

confidence: 99%

“…Loss of physiological cervical lordosis can also be seen. Computed tomography and/or magnetic resonance imaging is/are of great diagnostic value to objectify the degree of the disease [1][2][3][4][5]14,[17][18][19]21].…”

Section: Introductionmentioning

confidence: 99%

“…Clindamycin in empirical therapy is also indicated for frequent co-infection of anaerobes. Management in PICU is mandatory due to high risk of complications [1][2][3][4][5]7,9].…”

Section: Introductionmentioning

confidence: 99%

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Retropharyngeal Abscess in a Four Month Old Female Infant-Case Report

Katavić¹,

Štefanović²,

Vrsalović³

et al. 2016

Int J Pediatr Neonat Care

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Retropharyngeal abscess is acute suppurative infection of the retropharyngeal space. Most commonly it occurs in children younger than four years of age having history of streptoccocal pharyngitis. Clinical presentation similar to epiglottitis or foreign body aspiration makes distinguishing issues so the diagnosis of retropharyngeal abscess can initially be missled. Here we are illustrating four month old female infant with incipient presentation that clinically resembles epiglottitis. After the initial management in the intensive care unit clinical work-up was continued with multidysciplinary collaboration and the diagnosis of retropharyngeal abscess was given, treated both surgically and conservatively. Postoperative intensive care was then continued with subsequent clinical and biochemical improvement. This case demonstrates the need for broad thinking when dealing with affebrile child being respiratory distressed and during diagnostic work-up of a patient having fever of unknown origin.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Clindamycin in empirical therapy is also indicated for frequent co-infection of anaerobes. Management in PICU is mandatory due to high risk of complications [1][2][3][4][5]7,9].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Retropharyngeal Abscess in a Four Month Old Female Infant-Case Report

Katavić¹,

Štefanović²,

Vrsalović³

et al. 2016

Int J Pediatr Neonat Care

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Factors Associated With Potentially Missed Diagnosis of Appendicitis in the Emergency Department

et al. 2020

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IMPORTANCE Appendicitis may be missed during initial emergency department (ED) presentation.OBJECTIVE To compare patients with a potentially missed diagnosis of appendicitis (ie, patients with symptoms associated with appendicitis, including abdominal pain, constipation, nausea and/or vomiting, fever, and diarrhea diagnosed within 1-30 days after initial ED presentation) with patients diagnosed with appendicitis on the same day of ED presentation to identify factors associated with potentially missed appendicitis. DESIGN, SETTING, AND PARTICIPANTSIn this cohort study, a retrospective analysis of commercially insured claims data was conducted from January 1 to December 15, 2019. Patients who presented to the ED with undifferentiated symptoms associated with appendicitis between January 1, 2010, and December 31, 2017, were identified using the Clinformatics Data Mart administrative database (Optum Insights). The study sample comprised eligible adults (aged Ն18 years) and children (aged <18 years) who had previous ED visits within 30 days of an appendicitis diagnosis. MAIN OUTCOMES AND MEASURESPotentially missed diagnosis of appendicitis. Adjusted odds ratios (AORs) for abdominal pain and its combinations with other symptoms associated with appendicitis were compared between patients with a same-day diagnosis of appendicitis and patients with a potentially missed diagnosis of appendicitis. RESULTSOf 187 461 patients with a diagnosis of appendicitis, a total of 123 711 (66%; 101 375 adults [81.9%] and 22 336 children [18.1%]) were eligible for analysis. Among adults, 51 923 (51.2%) were women, with a mean (SD) age of 44.3 (18.2) years; among children, 9631 (43.1%) were girls, with a mean (SD) age of 12.2 (18.2) years. The frequency of potentially missed appendicitis was 6060 of 101 375 adults (6.0%) and 973 of 22 336 children (4.4%). Patients with isolated abdominal pain (adults, AOR, 0.65; 95% CI, 0.62-0.69; P < .001; children, AOR, 0.79; 95% CI, 0.69-0.90; P < .001) or with abdominal pain and nausea and/or vomiting (adults, AOR, 0.90; 95% CI, 0.84-0.97; P = .003; children, AOR, 0.84; 95% CI, 0.71-0.98; P = .03) were less likely to have missed appendicitis. Patients with abdominal pain and constipation (adults, AOR, 1.51; 95% CI, 1.31-1.75; P < .001; children, AOR, 2.43; 95% CI, 1.86-3.17; P < .001) were more likely to have missed appendicitis. Stratified by the presence of undifferentiated symptoms, women (abdominal pain, AOR, 1.68; 95% CI, 1.58-1.78; nausea and/or vomiting, AOR, 1.68; 95% CI, 1.52-1.85; fever, AOR, 1.32; 95% CI, 1.10-1.59; diarrhea, AOR, 1.19; 95% CI, 1.01-1.40; and constipation, AOR, 1.50; 95% CI, 1.24-1.82) and girls (abdominal pain, AOR, 1.64; 95% CI, 1.43-1.88; nausea and/or vomiting, AOR, 1.74; 95% CI, 1.42-2.13; fever, AOR, 1.55; 95% CI, 1.14-2.11; diarrhea, AOR, 1.80; 95% CI, 1.19-2.74; and constipation, AOR, 1.25; 95% CI, 0.88-1.78) as well as patients with a comorbidity index of 2 or greater (adults, abdominal pain, AOR, 3.33; 95% CI, 3.09-3.60; nausea and/or vomiting, AOR, 3.66; 95% CI, ...

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