Deep Neck Infection

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Deep Neck Infection by Mind Map: Deep Neck Infection

1. could be life threatening

2. most common site in children is pharynx & tonsils

3. Most common in adults=odontogenic & salivary sources

4. often no identifiable source

5. most common affected spatial compartments

5.1. retropharyngeal

5.1.1. lymph nodes generally cause of abscess in area

5.1.2. PE:bulging posterior pharyngeal wall

5.2. Parapharyngeal

5.2.1. tumors usually benign

5.2.2. PE:trismus, stiff neck, dysphagia, & poss. drooling

5.3. Submandibular/submental

5.3.1. most common source=odontogenic

6. Organisms:

6.1. Bacterial

6.1.1. Gram+,Gram-,aerobic & anaerobic

6.1.2. Strep/Staph

6.1.3. H.influenza

6.1.4. Strep pneum.

6.1.5. Moraxella catarrhalis

6.1.6. Klebsiella

6.1.7. Neisseria

6.1.8. Borrela vincentii

7. LABS:

7.1. CBC

7.2. CMP

7.2.1. include CREATININE

7.3. Culture w/ sensitivity if poss.

8. IMAGING:

8.1. CT neck w/&w/o contrast

8.2. US-abscess vs cellulitis

8.3. MRI may be limited due to availability

9. TREATMENT:

9.1. inpatient

9.1.1. airway manage

9.1.2. IV antibiotics

9.1.2.1. Ampicillin/Sulbactam w/ Metronidazole

9.1.2.2. or clindamycin

9.2. outpatient

9.2.1. oral abx

9.2.1.1. Clindamycin

9.2.1.2. cefuroxime axetil

9.2.2. consider oral steroids