A Case of Deep Neck Infection by Tuberculosis Destroying the Cervical Vertebrae.
- Author:
Jun Yeon HWANG
1
;
Jae Myeong KIM
;
Yong Man LEE
;
Woo Chan CHOUNG
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, Kangnam General Hospital, Public Corporation, Seoul, Korea. cwchan@naver.com
- Publication Type:Case Report
- Keywords:
Retropharyngeal abscess;
Tuberculosis;
Cervical vertebrae
- MeSH:
Anti-Bacterial Agents;
Cervical Vertebrae*;
Diagnosis;
Female;
Fever;
Fungi;
Head;
Humans;
Immunocompromised Host;
Incidence;
Mediastinitis;
Mortality;
Neck*;
Retropharyngeal Abscess;
Shock, Septic;
Spine;
Tuberculosis*;
Young Adult
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2004;47(2):185-189
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Deep neck infections affect fascial compartment of the head and neck, and their contents. Fever, pain, and swelling are the most common presenting symptoms. Also, the development of septic shock or mediastinitis depends on the degree of progression of the disease. The advent of antibiotics decreases the incidence and mortality of the deep neck infection. Antibiotics also alters the causation and management of this disease. In a recent report, mixed species with anaerobe were found in 50% of patients, whereas Staphylococci and Hemolytic streptococci were the leading causes of deep nect infections in the past. Also, in the case of immunocompromised host, deep neck infections caused by tuberculosis or fungus are not excluded. We experienced a 23 year old man with deep neck infection caused by tuberculosis presenting bone destruction of cervical spine. In this article, we reviewed the etiology, diagnosis, and treatment of this case, with a review of literatures.
