https://scholars.lib.ntu.edu.tw/handle/123456789/194935
Title: | Deep Neck Infections in Children | Authors: | CHANG, LUAN-YIN | Keywords: | children;deep neck infection;Taiwan | Issue Date: | 2001 | Journal Volume: | v.34 | Journal Issue: | n.4 | Start page/Pages: | 287-292 | Source: | J MICROBIOL IMMUNOL INFECT | Abstract: | From December 1989 through 1998, a total of 68 children with deep neck infection were enrolled into this study. The mean age was 5.9 years (range , 1 month-15.8 years). Infections in the retropharyngeal space (36.7%) were most common, followed by parapharyngeal space (30.8%), peritonsillar space (20.6%), and submandibular space (11.9%). Fever, neck pain, and swelling were the most frequent symptoms. The most common pathogens were viridans streptococci (41%, 16/39) and Staphylococcus aureus (26%, 10/39). Other isolates included Prevotella spp., Veillonella spp., Klebsiella pneumoniae, Escherichia coli, Morganella spp., and Enterobacter spp. Mixed infection was found in 46% (18/39) of patients. The mean duration of hospitalization was 12.4 days (range, 2-45 days). Complete resolution was achieved in 61 (89.7%) children. Complications occurred in 7 patients, including recurrence, mediastinal spread, bacteremia, and suppurative thyroiditis; the patient with mediastinal spread plus bacteremia died. Five patients had congenital cyst and 4 of them had complications or recurrence/relapse. In conclusion, infections in the retropharyngeal space and polymicrobial infections were most common in deep neck infection of Taiwan children. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/94827 |
Appears in Collections: | 醫學系 |
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