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KMID : 0604020140290020105
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Korean Journal of Critical Care Medicine
2014 Volume.29 No. 2 p.105 ~ p.109
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Incidentally Discovered Deep Neck Infection in a Septic Patient
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Cho Jin-Beom
Sung Ki-Young
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Abstract
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We incidentally discovered a case of deep neck infection during the treatment of a patient who presented with complaints of decreasedconsciousness, abdominal distension, and electrolyte imbalance. The patient had neither clinical symptoms nor radiologic findingsindicative of deep neck infection; rather, the findings indicated intra-abdominal sepsis and adrenal crisis, for which the symptomatictreatment was provided. When the expected improvement was not observed, we retrospectively reviewed the patient’s test recordsand discovered deep neck infection. Empiric parenteral antibiotic therapy and infection source control, as appropriate for this patient,were administered within 72 hours of hospital admission, without which the condition may have proved fatal. In this report we discussthe best approach for the management of unresolved infectious disease and review the clinical features of deep neck infection.
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KEYWORD
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deep neck infection, sepsis
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