一例2.5个月大男孩的咽后脓肿、下颌下脓肿和区域颈脓肿伴支气管肺炎

Irhamna Yusra, F. F. Yani
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引用次数: 0

摘要

儿科深颈间隙感染(DNSI)由于其快速发展的性质,需要更密切的管理。延误诊断和治疗可能导致危及生命的并发症。目的:报告一例儿童DNSI病例。早期诊断和立即治疗可以降低儿童的发病率和死亡率。病例:一例2.5个月大的男孩,主诉因颈深间隙感染和支气管肺炎导致呼吸困难。手术引流后病人病情好转。结论:它最常见于4岁以下有链球菌性咽炎病史的儿童,很少作为近期创伤、牙源性感染或脊椎骨髓炎扩展的并发症。管理通常包括抗菌治疗和手术引流。耳鼻喉科专家和儿科医生/儿科传染病专家的合作。PICU的管理是强制性的,因为并发症的风险很高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Retropharyngeal abscess, submandibular abscess, and regio colli abscess with bronchopneumonia in a 2.5-month-old boy
Deep neck space infections (DNSIs) in pediatric require more intimate management because of their rapidly progressive nature. Delay in diagnosis and treatment may lead to life-threatening complications. Objective: To report DNSIs as one of emergency case in children. Early diagnosis and immediate management can decrease morbidity and mortality rate in children. Case: A case of a 2.5-month-old boy with chief complain breathlessness due to deep neck space infections and bronchopneumonia. Patient was getting better after surgical drainage. Conclusions: It most commonly occurs in children younger than four years of age having medical history of streptococcal pharyngitis, rarely as a complication of recent trauma, odontogenic infection or extension of vertebral osteomyelitis. Management often consists of antimicrobial therapy and surgical drainage. With the cooperation of ENT specialist and pediatrician/pediatric infectious disease specialist. Management in PICU is mandatory due to high risk of complications.
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