Deep Neck Infection Associated with Peritoneal Sepsis A Rare Death Case
DOI:
https://doi.org/10.17986/blm.2016220399Keywords:
dental focal infection, retropharyngeal abscess, peptic ulcer perforation, peritonitis, sepsis, autopsyAbstract
Deep neck infection often develops due to upper respiratory tract and odontogenic infections. Gastrointestinal System perforation can occur for many reasons and is in need of early diagnosis and prompt suigical treatment. In both cases late or incorrect diagnosis may lead to increased morbidity and high mortality
An inmate suffering from a deep neck infection which developed from a tooth abscess and resulted in multiple organ failure and septic shock died while being treated in a hospital. The autopsy confirmed “retropharyngeal abscess” and revealed in addition findings of duodenal perforation that was missed during clinical examination. According to Turkish Criminal Code, a finding of a misdiagnosis should not just be reported as the cause of death but clearly stated in the report.
Keywords: Dental focal infection; Retropharyngeal Abscess; Peptic Ulcer perforation; Peritonitis; Sepsis; Autopsy
Downloads
References
Goldberg MH, Topazian RG. Odontogenic infections and deep fascial space infections of dental origin. In: Topazian RG, Goldberg MH, Hupp JR, editors. Oral and maxillofacial infections. 4th ed. Philadelphia: Saunders; 2002. p. 158-187
Suehara AB, Goncalves AJ, Alcadipani PA, Kavahato NK, Menezes MB. Deep Neck Infection- analysis of 80 cases. Rev Bras Otorrinolaringol 2008;74:253-259. DOI: https://doi.org/10.1016/S1808-8694(15)31097-1
Çağlı S, Yüce İ, Güney E. Derin Boyun Enfeksiyonları: 50 vakanın sonuçları. Erciyes Tıp Dergisi. 2006;28:211-215.
Lee JK, Kim HD, Lim SC. Predisposing factors of complicated deep neck infection: An analysis of 158 cases. Yonsei Medical Journal. 2007;48(1):55-62 DOI: https://doi.org/10.3349/ymj.2007.48.1.55
Fliss DM, Tovi F, Zirkin HJ. Necrotizing Soft-Tissue Infections of Dental Origin. J Oral Marillofac Surg. 1990;48:1104-1108. DOI: https://doi.org/10.1016/0278-2391(90)90298-G
Peker E, Karaca İ.R. Odontojenik enfeksiyon kaynaklı fasiyal alan apseleri. GÜ Diş Hek Fak Dergisi. 2012;29(2):129-137
Bertleff M. J.O.E., Lange JF. Perforated Peptic Ulcer Disease: A Review of History and Treatment. Dig Surg. 2010;27:161–169 DOI: https://doi.org/10.1159/000264653
Coppolino FF, Gatta G, Di Grezia G, Reginelli A, Iacobellis F, Vallone G, et al. Gastrointestinal perforation: ultrasonographic diagnosis. Critical Ultrasound Journal. 2013; 5 (Suppl 1):S4 DOI: https://doi.org/10.1186/2036-7902-5-S1-S4
Svanes C. Trends in Perforated Peptic Ulcer: Incidence, Etiology, Treatment, and Prognosis. World J. Surg. 2000;24(3): 277–283. DOI: https://doi.org/10.1007/s002689910045
Saber A. Perforated duodenal ulcer in high risk patients, peptic ulcer disease. In: Chai J, editor. Peptic Ulcer Disease. In Tech, Rijeka-Croatia, Shanghai-China; 2011. p. 271-284 DOI: https://doi.org/10.5772/24066
Marioni G, Rinaldi R, Staffieri C, Marchese-Ragona R, Saia G, Stramare R, et al. Deep neck infection with dental origin: analysis of 85 consecutive cases (2000-2006). Acta Oto-Laryngologica. 2008;128:201-206 DOI: https://doi.org/10.1080/00016480701387157
Gorjón PS, Pérez PB, Martín ACM, Dios JCP, Alonso SE, Cabanillas MIC. Deep neck infection: Review of 286 cases. Acta Otorrinolaringol Esp. 2012;63(1):31-41 DOI: https://doi.org/10.1016/j.otoeng.2012.01.006
Roberto G, Romanob S, Pintob A, Romano L. Gastro-duodenal perforations: conventional plain film, US and CT findings in 166 consecutive patients. European journal of radiology. 2004;50:30-36. DOI: https://doi.org/10.1016/j.ejrad.2003.11.012
Kalafat H. Akut Karın. İ.Ü. Cerrahpaşa Tıp Fakültesi Sürekli Tıp Eğitimi Etkinlikleri Acil Hekimlik Sempozyumu. 16 -17 Ekim 1997; İstanbul. p. 221-231
Cina SJ, Mims WW, Nichols CA, Conradi SE. From emergency room to morgue: deaths due to undiagnosed perforated peptic ulcers: report of four cases with review of the literature. Am J Forensic Med Patho. 1994;15(1):21-27. DOI: https://doi.org/10.1097/00000433-199403000-00006
Felix WR, Stahlgren LH. Death by undiagnosed perforated peptic ulcer: analysis of 31 cases. Annals of surgery. 1973;177(3):344 DOI: https://doi.org/10.1097/00000658-197303000-00017
Arslan MM, Eren A, Çekin N. Akıl Hastalarında Önyargılar Nedeniyle Tanısı Geçirebilen Veya Atlanabilen Hastalıklar İki Olgu Sunumu. Bull Leg Med. 2008;13(3):120-123. https://doi.org/10.17986/blm.2008133680 DOI: https://doi.org/10.17986/blm.2008133680
Downloads
Published
Issue
Section
License
The Journal and content of this website is licensed under the terms of the Creative Commons Attribution (CC BY) License. The Creative Commons Attribution License (CC BY) allows users to copy, distribute and transmit an article, adapt the article and make commercial use of the article. The CC BY license permits commercial and non-commercial re-use of an open access article, as long as the author is properly attributed.