Roberts Samuel, Chan Lyndon, Eisenberg Robert
ENT Department, John Hunter Hospital, Lookout Rd., New Lambton Hts., NSW 2305, Australia.
Ear Nose Throat J. 2017 Jun;96(6):221-224. doi: 10.1177/014556131709600622.
Idiopathic pretracheal deep neck space infection is an extremely rare condition with potentially devastating complications. We present a series of 3 cases of pretracheal deep neck space infection that arose in the absence of trauma or a congenital lesion and that exhibited mediastinal spread. To the best of our knowledge, these cases represent the first reported series of this rare condition to be published in the English-language literature. All cultures grew Streptococcus milleri, and all patients had a favorable outcome. A high index of suspicion for a deep neck space infection is warranted in view of the devastating complications of this condition. Computed tomography is the investigation of choice. Treatment with intravenous antibiotics and surgical drainage, particularly when mediastinitis is present, is recommended. This rare presentation warrants a thorough investigation to identify the source of infection.
特发性气管前颈部深部间隙感染是一种极其罕见的疾病，可能会引发严重的并发症。我们报告了3例气管前颈部深部间隙感染病例，这些病例均无创伤或先天性病变，且出现了纵隔扩散。据我们所知，这些病例是英文文献中首次报道的该罕见疾病系列病例。所有培养结果均显示为米勒链球菌，所有患者预后良好。鉴于该疾病可能引发严重并发症，因此对于颈部深部间隙感染需保持高度警惕。计算机断层扫描是首选的检查方法。建议采用静脉抗生素治疗和手术引流，尤其是在存在纵隔炎的情况下。这种罕见的表现需要进行全面检查以确定感染源。
