Severe soft tissue infections of the head and neck: a primer for critical care physicians

Lung. 2009 Sep-Oct;187(5):271-9. doi: 10.1007/s00408-009-9153-7. Epub 2009 Aug 5.

Abstract

Patients with severe infections of the potential spaces of the head and neck are commonly managed in the ICU. These infections may present with devastating complications such as airway obstruction, jugular septic thrombophlebitis, lung abscess, upper airway abscess rupture with asphyxiation, mediastinitis, pericarditis, and septic shock. A thorough understanding of the anatomy and microbiology of these infections is essential for proper management of these patients. Retropharyngeal, danger, prevertebral, lateral pharyngeal, and submandibular space infections and their site-specific clinical manifestations, complications, and therapeutic interventions are discussed.

Publication types

  • Review

MeSH terms

  • Abscess / diagnosis
  • Abscess / microbiology
  • Abscess / therapy*
  • Anti-Bacterial Agents / therapeutic use*
  • Combined Modality Therapy
  • Drainage*
  • Drug Therapy, Combination
  • Head
  • Humans
  • Incidence
  • Ludwig's Angina / diagnosis
  • Ludwig's Angina / microbiology
  • Ludwig's Angina / therapy*
  • Neck
  • Severity of Illness Index
  • Soft Tissue Infections / diagnosis
  • Soft Tissue Infections / microbiology
  • Soft Tissue Infections / therapy*
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents