Lee Ja Myoung, Park In Sung, Lee Chul-Hee, Lee Kwang-Ho, Chun Dong Hyun, Kim Ji-Yoon, Lee Young Seok
Department of Neurosurgery, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea.
Korean J Neurotrauma. 2018 Oct;14(2):155-158. doi: 10.13004/kjnt.2018.14.2.155. Epub 2018 Oct 31.
Deep neck infections (DNIs) are mainly caused by dental caries, tonsillitis, and pharyngitis; however, DNIs can also occur after head and neck trauma. A 79-year-old male patient underwent a craniectomy due to an acute subdural hematoma. The patient was unconscious and continued to have a fever, but no clear cause was found. On postoperative day 9, he suddenly showed redness and swelling on the anterior neck. Enhanced computed tomography of the pharynx revealed tracheal necrosis and an abscess in the surrounding area. An incision and drainage were performed and and were identified. The infection was controlled after antibiotic treatment. High endotracheal tube cuff pressure was suspected as the cause of the tracheal infection. Although DNIs are difficult to predict in patients who cannot report their symptoms due to unconsciousness, prevention and rapid diagnosis are important, as DNIs have serious side effects.
深部颈部感染（DNIs）主要由龋齿、扁桃体炎和咽炎引起；然而，DNIs也可发生于头颈部创伤后。一名79岁男性患者因急性硬膜下血肿接受了颅骨切除术。患者昏迷，持续发热，但未发现明确病因。术后第9天，他突然出现前颈部红肿。咽部增强计算机断层扫描显示气管坏死及周围脓肿。进行了切开引流，并发现了[此处原文缺失内容]。抗生素治疗后感染得到控制。怀疑气管感染的原因是气管内插管气囊压力过高。尽管对于因昏迷无法报告症状的患者难以预测DNIs，但由于DNIs有严重的副作用，预防和快速诊断很重要。
