Author(s): Tan PT, Chang LY, Huang YC, Chiu CH, Wang CR,
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Abstract From December 1989 through 1998, a total of 68 children with deep neck infection were enrolled into this study. The mean age was 5.9 years (range, 1 month-15.8 years). Infections in the retropharyngeal space (36.7\%) were most common, followed by parapharyngeal space (30.8\%), peritonsillar space (20.6\%), and submandibular space (11.9\%). Fever, neck pain, and swelling were the most frequent symptoms. The most common pathogens were viridans streptococci (41\%, 16/39) and Staphylococcus aureus (26\%, 10/39). Other isolates included Prevotella spp., Veillonella spp., Klebsiella pneumoniae, Escherichia coli, Morganella spp., and Enterobacter spp. Mixed infection was found in 46\% (18/39) of patients. The mean duration of hospitalization was 12.4 days (range, 2-45 days). Complete resolution was achieved in 61 (89.7\%) children. Complications occurred in 7 patients, including recurrence, mediastinal spread, bacteremia, and suppurative thyroiditis; the patient with mediastinal spread plus bacteremia died. Five patients had congenital cyst and 4 of them had complications or recurrence/relapse. In conclusion, infections in the retropharyngeal space and polymicrobial infections were most common in deep neck infection of Taiwan children.
This article was published in J Microbiol Immunol Infect
and referenced in Clinical Depression