Olgu Sunumu Medial Calcific Sclerosis (Mönckeberg) Case Report

Klinik Çalışmaları
Küçük Çocuklarda Derin Boyun
Enfeksiyonu: 39 Olgunun
Retrospektif Analizi
Infections of Deep Neck Spaces in
Young Children: Retrospective
Analysis of 39 Cases
Dr. Ayşe KARAASLAN/ Pediatrician in Marmara University Faculty of Medicine, Department of Pediatrics, Istanbul
Dr. Kevser BEŞBENLİ/ Pediatrician in Maltepe University Faculty of Medicine, Department of Pediatrics, Istanbul
Dr. Şenol CİVELEK/ Otorhinolaryngologist in Sisli Etfal Education and Research Hospital, Istanbul
Dr. Feyzullah ÇETİNKAYA/ Pediatrician in Maltepe University Faculty of Medicine, Department of Pediatrics, Istanbul
ÖzEt
Amaç: Bu çalışmada, Şişli Etfal Eğitim ve Araştırma
Hastanesi kliniğinde derin boyun enfeksiyonu tanısı almış
olan küçük çocuklar bazı klinik, laboratuar ve prognostik
faktörler yönünden incelendi.
Yöntem: İki yaşın altında derin boyun enfeksiyonu
tanısı almış olan çocuklar etiyoloji ve görüntüleme
yöntemlerinin yararı ve antibiyotik rejimlerinin etkinliği
yönünden geriye dönük olarak araştırıldı.
Bulgular: Çalışmaya yaşları 1-24 ay (ortalama
11.4±6.2 ay) arasında değişen 39 çocuk alındı, Çocuklarda
en sık rastlanan şikayetler huzursuzluk (%100) ve
ateş (%97.4) idi.
Hastalara intravenöz yoldan ampisin+sulbaktam
veya sefazolin + klindamisin kombinasyonu verildi.
Hastalardan dokuzuna (%23) cerrahi drenaj uygulandı.
Hastalardan yalnızca birinde juguler vende tromboz gelişmesi
dışında bütün hastalar tam olarak iyileşti.
Sonuç: Erken çocukluk döneminde derin boyun
enfeksiyonu olan vakalar en sık huzursuzluk ve ateş şikayetleri
ile başvurmakta ve esas olarak etkili bir antibiyotik
tedavisi ile tedavi edilebilmektedir.
Anahtar kelimeler: infeksiyon, derin boyun, çocuk.
INtRODUCtION
Infections of the deep neck spaces (IDNS) is still
a common entity in children especially in developing
countries. Although recent advances in the antimicrobial
therapy has reduced the mortality due to IDNS, delay
in the diagnosis and treatment of these infections
ABStRACt
Objective: In this study, we sought to describe
some clinical, laboratory and prognostic features of
young children with infections of deep neck spaces
(IDNS) in Sisli Etfal Education and Research Hospital.
Material and methods: Young children who had
had taken the diagnosis of infections of deep neck
spaces were retrospectively investigated in terms of
etiologies, utility of imaging studies and effectiveness
of antibitic regimens.
Results: Thirty-nine children aged 1-24 months
(mean 11.4±6.2 months) were included into the
study. The most common complaints of patients with
INDS were restlessness (100%) and fever (97.4%). All
patients have taken either ampicillin+sulbactam or
cephazoline + clindamycin combination intravenously
and nine of them (23%) underwent surgical drainage.
Complete resolution was achieved in all patients
without any complication except one child with deep
vein thrombosis.
Conclusion: The cases with deep neck infections
in early childhood most commonly admit with the
complaints of restlessness and fever and they can be
treated essentially with antibiotics.
Key words: infection, deep neck, children
may lead to severe complications(1) On the other
hand, there have been many studies regarding various
aspects of IDNS(2); but, to our knowledge, no study
focused on the IDNS in children under two years of age
and the most appropriate antibiotic regimens in this
age group. In this study we retrospectively investigated