Deep neck infections – an unusual presentation

• Autor(a) principal: Diogo, Marco
• Data de Publicação: 2006
• Outros Autores: Pimentel, Teresa, Ferreira, Sameiro
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://revista.spmi.pt/index.php/rpmi/article/view/1660
• topic: infecções profundas do pescoço; celulite do pescoço; abcesso retrofaríngeo; toxicodermia; choque séptico; anti-inflamatórios não esteróides; deep neck infections; cervical cellulitis; retropharyngeal abscess; cutaneous reaction; septic shock; non-steroidal anti-inflammatory drugs

The authors describe a clinical case of a deep neck infection in a 47-year-old woman admitted in the emergency department with a 4 day history of fever and myalgia, associated with a maculopapular eruption and intense cervical pain during the 24 hours prior to admission. The relevance of this presentation, a relatively frequent condition usually treated by other medical specialities, resides in the fact that it was observed and treated by internists because of the systemic form of presentation (which is associated with a high mortality rate). The evolution was favourable after treatment with an appropriate antibacterial agent. The patient was discharged free of symptoms. We took the opportunity to present a bibliographic revision, highlighting the medical (as opposed to the surgical) approach and management of this infection.