Correlation between imaging characteristics and microbiology in patients with deep neck infections: A retrospective review of one hundred sixty-one cases

Ryh Hsin Lin, Chia Chang Huang, Yung An Tsou, Chia Der Lin, Ming Hsui Tsai, Jin Hua Chen, Chuan Mu Chen, Yi Tzone Shiao

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background: This study reviews our recent experience with deep neck infections in order to propose recommendations in selecting presumptive antibiotics according to imaging characteristics and identifying predisposing factors of life-threatening complications. Methods: The records of 161 patients treated for deep neck infections at the Department of Otolaryngology-Head and Neck Surgery, China Medical University Hospital from 2002 to 2012 were reviewed retrospectively. The demographic data, comorbidities, source of infections, complications, duration of hospital stay, imaging characteristics, and bacteriologic studies were evaluated. The involved neck space was determined by computed tomography (CT) scan with contrast. Complications included mortality and life-threatening conditions. Results: The most common cause of deep neck infections in our study was odontogenic infection (20.5%), followed by pharyngo-tonsillitis (18.6%), and lymphadenitis (10.5%). The most commonly involved neck space was the submandibular space (40.9%), followed by the carotid space (37.2%), and the para-pharyngeal space (33.5%). Gas formation was detected in 31 (19.3%) cases. Infections of the different neck spaces and patients with gas formation noted on CT scan showed a specific distribution of common microorganisms. Streptococcus spp. was the most common pathogen in submandibular/sublingual space infections. Klebsiella pneumoniae infection accounted for 53.1% of peri-tonsillar/para-pharyngeal space infections, and 40% of carotid space infections. When gas formation was noted on CT imaging, anaerobic infection was the most common pathogen. Chronic kidney disease, diabetes mellitus (DM), multiple space infection, and gas formation present on CT scan were independent predictors of complications (p

Original languageEnglish
Pages (from-to)794-799
Number of pages6
JournalSurgical Infections
Volume15
Issue number6
DOIs
Publication statusPublished - Dec 1 2014
Externally publishedYes

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Microbiology
Neck
Infection
Gases
Tomography
Klebsiella Infections
Tonsillitis
Lymphadenitis
Information Storage and Retrieval
Otolaryngology
Klebsiella pneumoniae
Streptococcus
Chronic Renal Insufficiency
Causality
Comorbidity
China
Length of Stay
Diabetes Mellitus
Head
Demography

ASJC Scopus subject areas

  • Surgery
  • Infectious Diseases
  • Microbiology (medical)
  • Medicine(all)

Cite this

Correlation between imaging characteristics and microbiology in patients with deep neck infections : A retrospective review of one hundred sixty-one cases. / Lin, Ryh Hsin; Huang, Chia Chang; Tsou, Yung An; Lin, Chia Der; Tsai, Ming Hsui; Chen, Jin Hua; Chen, Chuan Mu; Shiao, Yi Tzone.

In: Surgical Infections, Vol. 15, No. 6, 01.12.2014, p. 794-799.

Research output: Contribution to journalArticle

Lin, Ryh Hsin ; Huang, Chia Chang ; Tsou, Yung An ; Lin, Chia Der ; Tsai, Ming Hsui ; Chen, Jin Hua ; Chen, Chuan Mu ; Shiao, Yi Tzone. / Correlation between imaging characteristics and microbiology in patients with deep neck infections : A retrospective review of one hundred sixty-one cases. In: Surgical Infections. 2014 ; Vol. 15, No. 6. pp. 794-799.
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