Review ArticleDeep neck abscess in neonatal period: Case report and review of literature
Introduction
A deep neck abscess is defined as a collection of pus in the facial planes and spaces of the head and neck and it can lead to life-threatening complications. Deep neck abscesses are rare in neonatal period [1], [2], [3], [4], [5], [6], [7], [8], [9], [10], [11], [12], [13], [14], [15], [16]. Herein, we describe a deep neck abscess, presented as neonatal sepsis, caused by methicillin-sensitive Staphylococcus aureus (MSSA) in a neonate. In addition, cases with deep neck abscess reported in the neonatal period in English literature were reviewed.
Section snippets
Case report
A 10-day male neonate was referred to our unit with the complaints of fever, irritability, and poor feeding. The infant was born by vaginal delivery after 40 weeks of pregnancy with 3.330 g birth weight. There was no history of birth trauma and invasive procedure. At admission, physical examination revealed the fever: 40.2 °C, heart rate: 186 bpm, respiratory rate: 68 bpm, capillary refill time 4 s, cutis marmoratus, mild jaundice, and the other physical examination findings were normal. The chest
Discussion
In this manuscript, we report a newborn with deep neck abscesses caused by MSSA infection successfully managed with antibiotics and drainage. In addition, neonatal cases with deep neck abscess reported in English literature were reviewed and clinical presentation, risk factors, causing microorganisms, treatment, complication and outcome of deep neck abscesses were discussed (Table 1).
Although antibiotics therapy has reduced the incidence of deep neck abscess, it remains an important clinical
References (25)
- et al.
Bacteremic methicillin-resistant Staphylococcus aureus deep neck abscess in a newborn – case report and review of literature
Int. J. Pediatr. Otorhinolaryngol.
(2009) - et al.
Mediastinal and retropharyngeal abscesses in a neonate
Pediatr. Neonatol.
(2011) - et al.
Radiology of the retropharyngeal space
Clin. Radiol.
(2000) - et al.
Rare type of deep neck infection: two cases of descending necrotizing mediastinitis
Tzu Chi Med. J.
(2009) - et al.
Symptom duration and CT findings in pediatric deep neck infection
Otolaryngol. Head Neck Surg.
(2009) - et al.
Mediastinitis in infants from deep neck space infections
Otolaryngol. Head Neck Surg.
(2009) - et al.
Deep neck infections in different age groups of children
J. Microbiol. Immunol. Infect.
(2010) - et al.
Percutaneous aspiration of retropharyngeal space in neonates
Am. J. Roentgenol.
(1982) - et al.
Retropharyngeal abscesses in infants
Indian J. Pediatr.
(1983) Neonatal retropharyngeal cellulitis due to group B Streptococcus
Clin. Pediatr. (Phila.)
(1987)
Idiopathic retropharyngeal abscess in a neonate
Otolaryngol. Head Neck Surg.
Retropharyngeal abscesses in children: a 10-year review
Pediatr. Emerg. Care
Cited by (4)
Diagnosis and treatment of deep neck abscess due to congenital piriform sinus fistula in children
2021, Brazilian Journal of OtorhinolaryngologyCitation Excerpt :Infection most likely causes abscess, and this easily spreads directly or indirectly between the tissues. At the same time, symptoms of systemic poisoning and serious complications might develop due to absorption of necrotic substances, which are considered life-threatening.5 Suppurative neck lymphadenitis, foreign body infection, tonsil, pharyngeal and odontogenic infections, sacral cysts and fistulas are common causes of deep neck abscess in children.
Clinical characteristics for conservative therapy of pediatric parapharyngeal abscesses
2021, Brazilian Journal of OtorhinolaryngologyCitation Excerpt :The fistula formed by abnormal embryonic development is closely related to the adjacent structure of the cricoarytenoid joint area, forming the anatomical basis of secondary neck infection. PSF can cause repeated inflammatory lumps in the neck, acute suppurative thyroiditis or deep abscess of the lower neck.21 The clinical incidence of the disease is low due to the lack of the understanding of the disease, and it is more easily misdiagnosed.
Geographic health disparities in the Los Angeles pediatric neck abscess population
2018, International Journal of Pediatric OtorhinolaryngologyCitation Excerpt :The incidence of deep space neck infections in the United States was 1.37 per 10,000 in 2009 [1]. Risk factors associated with the high incidence of pediatric neck abscesses include thyroglossal cysts and other congenital malformations, endotracheal intubation, multiple laryngoscopies, application of suction catheters, and use of CPAP devices [2]. However, many patients present without any of these risk factors.