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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
DEEP NECK INFECTIONS FOLLOWING AN UNEXPECTEDLY DIFFICULT INTUBATION
Author
Hee Jung Jeon, Jin Sun Yoon*, Sam Soon Cho, Jae Do Lee, Jun-ho Jo, Young Soo Kim, Ju Young Park, Junhyug Jeong
Email
medisun74@naver.com
keyword
Abscess, Deep Neck Infection, Difficult Intubation.
Abstract
Although rarely reported after endotracheal intubation, deep neck infections are potentially life-threatening because they may result in compromised airway, mediastinitis, thrombophlebitis and sepsis. In this report, we present a 69-year-old diabetic patient who developed deep neck infections after an unexpectedly difficult intubation. Postoperatively, the patient complained of neck pain, sore throat, dysphagia and fever. Computed tomography of the neck and thorax revealed deep neck infections in the prevertebral space and pharyngeal area. Despite the conservative treatments with nil per os and intravenous antibiotics, the patient persistently complained of symptoms. The follow-up computed tomography showed the aggravated abscess lesion of the neck. An awake fiberoptic intubation was completed and surgical exploration was performed. Patient’s recovery was slow and gradual because of persistent drainage and swallowing difficulty. Three weeks after operation, the patient was discharged from the hospital with complete recovery.
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