Deep neck spaces are still common in developing countries like India, even though its less prevalent in developed nations. It can lead to serious complications like jugular vein thrombosis and dissemination of infection if not diagnosed early and intervened. This is a retrospective chart review of 52 patients from 2014 to 2017 in a tertiary care hospital. Only patients with infection deeper to the superficial fascia of neck were included. Submandibular space infection was the most common and precipitating factor being dental infection. Most common comorbid condition was diabetes mellitus. Klebsiella pneumoniae was the most common isolated organism and few patients had mixed culture with anaerobes. Injectable cephalosporin with metronidazole was the most effective antibiotic combination against such infections. Low threshold for early surgical intervention reduce hospital stay and enable quick recovery of patients. Usage of over the counter antibiotics masks the conditions and complicate diagnosis and treatment of this condition.
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Wang LF, Kuo WR, Tsai SM, Huang KJ (2003) Characterizations of life threatening deep cervical space infections: a review of one hundred ninety six cases. Am J Otolaryngol 24(2):111–117
Kataria G, Saxena A, Bhagat S, Singh B, Kaur M, Kaur G et al (2015) Deep neck space infections: a study of 76 cases. Iran J Otorhinolaryngol 27:293–299
Huang TT, Tseng FY, Yeh TH, Hsu CJ, Cen YS (2006) Factors affecting the bacteriology of deep neck infection: a retrospective study of 128 patients. Acta Otolaryngol 126(4):396–401
Vieira F, Allen SM, Stocks RSM, Thompson JW (2008) Deep neck infections. Otolaryngol Clin N Am. 12:459–483
Wills PI, Vernon RP (1981) Complications of space infections of the head and neck. Laryngoscope 91(7):1129–1136
Chi T-H, Tsao Y-H, Yuan C-H (2014) Influences of patient age on deep neck infection: clinical etiology and treatment outcome. Otolaryngol Head Neck Surg 151(4):586–590
Ridder GJ, Technau-Ihling K (2005) Spectrum and management of deep neck space infections: an 8 year Experience of 234 cases. Otolaryngology-Head Neck Surg 133:709–714
Bali RK, Sharma P, Gaba S, Kaur A, Ghanghas P (2015) A review of complications of odontogenic infections. Natl J Maxillofac Surg 6:136–143
Bou-Assaly W, Mckellop J, Mukherji S (2010) Computed tomography imaging of acute neck inflammatory processes. World J Radiol 2(3):91–96
Motahari SJ, Poormoosa R, Nikkhah M et al (2015) Treatment and prognosis of deep neck infections. Indian J Otolaryngol Head Neck Surg 67(Suppl 1):134
Adil E, Tarshish Y, Roberson D, Jang J, Licameli G, Kenna M (2015) A review of complications of odontogenic infections. Natl J Maxillofac Surg 6(2):136–143
Santos Gorjón P, Blanco Pérez P, Morales Martín AC, Pozo Del, de Dios JC, Estévez Alonso S, Calle de la Cabanillas MI (2012) Deep neck infection: review of 286 cases. Acta Otorrinolaringol Esp 63(1):31–41
Dhanalakshmi S (2015) Lurking dangers in deep neck abscess retrospective study. J Evol Med Dent Sci 46(4):7977–7985
Muckleston HS (1942) Angina ludovici and kindred. Infections: an historical and clinical study. Ann Otorhinolaryngol 35:467
Sharma K, Das D, Joshi M, Barman D, Sarma AJ (2018) Deep neck space infections-a study in diabetic population in a tertiary care centre. Indian J Otolaryngol Head Neck Surg 70(1):22–27
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Jayagandhi, S., Cheruvu, S.C., Manimaran, V. et al. Deep Neck Space Infection: Study of 52 Cases. Indian J Otolaryngol Head Neck Surg 71, 923–926 (2019). https://doi.org/10.1007/s12070-019-01592-3
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