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Microbiology and management of infected neck cysts

Itzhak Brook1

  • 1Department of Pediatrics, Georgetown University School of Medicine, Washington, DC, USA. ib6@georgetown.edu

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|March 3, 2005
PubMed
Abstract

Insights

Infected neck cysts often involve skin or oral bacteria. Effective management requires identifying the specific pathogens through cultures to guide antibiotic therapy and potential surgical interventions.

Area of Science:

  • Head and Neck Surgery
  • Infectious Diseases
  • Microbiology

Background:

  • Infected neck cysts represent a common clinical challenge.
  • Understanding the microbial etiology is crucial for effective treatment.

Purpose of the Study:

  • To comprehensively review the microbiology, diagnosis, and management of infected neck cysts.
  • To highlight the role of skin and oral flora in these infections.

Main Methods:

  • A thorough review of current medical literature.
  • Consultation of established medical textbooks.

Main Results:

  • Predominant aerobic bacteria include Staphylococcus aureus and Streptococcus pyogenes.
  • Common anaerobic isolates are Prevotella spp., Porphyromonas spp., and Peptostreptococcus spp. from oral flora.
  • Treatment involves targeted antibiotics based on culture results, with potential need for surgical drainage or cyst removal.

Conclusions:

  • Identifying the source of infection (skin or oral flora) is key for selecting appropriate antimicrobial therapy.
  • Prompt surgical removal can prevent recurrent infections and suppuration.

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