Infections of the Neck

Emerg Med Clin North Am. 2019 Feb;37(1):95-107. doi: 10.1016/j.emc.2018.09.003.

Abstract

Infection of the neck is a relatively common emergency department complaint. If not diagnosed and managed promptly, it may quickly progress to a life-threatening infection. These infections can result in true airway emergencies that may require fiberoptic or surgical airways. This article covers common, as well as rare but emergent, presentations and uses an evidence-based approach to discuss diagnostic and treatment modalities.

Keywords: Deep space neck infections; Descending necrotizing mediastinitis; Epiglottitis; Lemierre syndrome; Ludwig angina; Peritonsillar abscess; Pharyngitis; Retropharyngeal abscess.

Publication types

  • Review

MeSH terms

  • Emergencies
  • Epiglottitis / diagnosis
  • Epiglottitis / therapy
  • Humans
  • Infections / diagnosis*
  • Infections / therapy
  • Lemierre Syndrome / diagnosis
  • Lemierre Syndrome / therapy
  • Ludwig's Angina / diagnosis
  • Ludwig's Angina / therapy
  • Mediastinitis / diagnosis
  • Mediastinitis / therapy
  • Neck*
  • Parotitis / diagnosis
  • Parotitis / therapy
  • Peritonsillar Abscess / diagnosis
  • Peritonsillar Abscess / therapy
  • Pharyngitis / diagnosis
  • Pharyngitis / therapy
  • Retropharyngeal Abscess / diagnosis
  • Retropharyngeal Abscess / therapy