Almutairi Dakheelallah M, Alqahtani Raneem M, Alshareef Noorah, Alghamdi Yousef S, Al-Hakami Hadi Afandi, Algarni Mohammed
Otolaryngology - Head and Neck Surgery, King Saud Bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah, SAU.
Medicine, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Cureus. 2020 Feb 1;12(2):e6841. doi: 10.7759/cureus.6841.
Objective Our study was performed to identify the clinical findings, risk factors, and complications of deep neck space infections (DNSI) at our center and compare our experience with the experiences of others. Methods Retrospectively, 183 cases of DNSI met our inclusion criteria from 2000 to 2018 at King Abdulaziz Medical City (KAMC) in Jeddah, Western Region, Saudi Arabia. Results In our study, analysis showed that males are more likely to have DNSI (88.7%). The most common site of infection is the peritonsillar abscess (30.6%). Dental infections were found to be the most common etiological factor for DNSI (42.6%). Streptococcus pyogenes was found to be the most common microorganism (39.3%) followed by Staphylococcus aureus (21.3%). Diabetes and hypertension (45.2% and 23.7%, respectively) are the most commonly associated disorders in patients with DNSI. Extension to another space was the most common complication of DNSI. Conclusion Despite the wide usage of antibiotics, DNSI still occur and are life-threatening conditions that need urgent management to avoid unpleasant complications.
目的 我们开展本研究旨在确定我院深部颈部间隙感染（DNSI）的临床特征、危险因素及并发症，并将我们的经验与其他机构的经验进行比较。方法 回顾性分析2000年至2018年沙特阿拉伯西部地区吉达市阿卜杜勒阿齐兹国王医疗城（KAMC）符合纳入标准的183例DNSI病例。结果 在我们的研究中，分析显示男性更易发生DNSI（88.7%）。最常见的感染部位是扁桃体周围脓肿（30.6%）。牙源性感染是DNSI最常见的病因（42.6%）。化脓性链球菌是最常见的微生物（39.3%），其次是金黄色葡萄球菌（21.3%）。糖尿病和高血压（分别为45.2%和23.7%）是DNSI患者最常见的合并症。感染蔓延至其他间隙是DNSI最常见的并发症。结论 尽管抗生素广泛应用，但DNSI仍会发生，且是危及生命的疾病，需要紧急处理以避免出现不良并发症。
