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Traumatic deep neck infection due to pulling a tooth with pliers
1Kars Harakani State Hospital. dnzlsema@gmail.com.
Acta Bio-Medica : Atenei Parmensis
|October 19, 2018
Summary
Deep neck infections are serious conditions requiring prompt medical care. This case highlights a rare traumatic deep neck infection in a 71-year-old woman following dental extraction.
Area of Science:
- Infectious Diseases
- Otolaryngology
- Emergency Medicine
Background:
- Deep neck infections (DNIs) are severe, potentially fatal conditions often stemming from upper respiratory infections, poor dental hygiene, or head and neck trauma/surgery.
- These infections are typically polymicrobial and present with symptoms like swelling, dysphagia, pain, trismus, dysphonia, and otalgia.
Observation:
- A 71-year-old female patient presented with a deep neck infection.
- The infection was directly attributed to a traumatic event involving tooth extraction using pliers.
Findings:
- Deep neck infections can occur at any age, with reported mortality rates ranging from 20% to 50%.
- Prompt management, including intravenous antibiotics, airway protection, and abscess drainage, is crucial.
Implications:
- Physicians must maintain high awareness of deep neck infections and their potential severe complications, including mortality.
- Trauma, even from seemingly minor procedures like tooth extraction, can precipitate life-threatening deep neck infections, necessitating careful patient evaluation.
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