Abstract
We have recorded the clinical features of diabetic patients with multispace infections
of the head and neck and compared them with those of non-diabetic patients. We retrospectively
studied 191 patients who were treated for severe multispace infections of the head
and neck, and compared the patients’ background, the aetiology of the infection, clinical
variables, laboratory values (microbiology, and blood glucose concentration, white
cell count (WCC), and percentage of neutrophils on admission) and treatment (the number
of incisions, complications and duration of hospital stay). Statistical analyses of
the differences between groups were made with Student's t test, the chi square test, and analysis of variance, as appropriate. Diabetic patients
had more spaces involved concurrently (P = 0.02), required more incisions for drainage (P = 0.002), had longer hospital stays (P < 0.0001), and developed more complications (P = 0.02). Two diabetic patients died. We conclude that diabetic patients are more likely
to develop complications and the complications are more likely to be severe than those
in non-diabetic patients.
Keywords
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References
- Comparison of maxillofacial space infection in diabetic and nondiabetic patients.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010; 110: e7-e12
- Influence of diabetes mellitus and glycaemic control on the characteristics and outcome of common infections.Diabet Med. 1996; 13: 457-463
- Impaired leucocyte functions in diabetic patients.Diabet Med. 1997; 14: 29-34
- Diabetes mellitus and odontogenic infections—an exaggerated risk?.Oral Maxillofac Surg. 2008; 12: 129-130
- Diabetes mellitus and bacteraemia: a comparative study between diabetic and non-diabetic patients.Eur J Med. 1992; 1: 281-287
- Klebsiella pneumoniae fascial space infections of the head and neck in Taiwan: emphasis on diabetic patients and repetitive infections.J Infect. 2005; 50: 34-40
- Deep neck infection in diabetic patients: comparison of clinical picture and outcomes with nondiabetic patients.Otolaryngol Head Neck Surg. 2005; 132: 943-947
- Quantifying the risk of infectious diseases for people with diabetes.Diabetes Care. 2003; 26: 510-513
- Factors affecting the bacteriology of deep neck infection: a retrospective study of 128 patients.Acta Otolaryngol. 2006; 126: 396-401
- Predisposing factors of complicated deep neck infection: an analysis of 158 cases.Yonsei Med J. 2007; 48: 55-62
- Ludwig's angina and ketoacidosis as a first manifestation of diabetes mellitus.Med Oral Patol Oral Cir Bucal. 2010; 15: 624-627
- Clostridial deep neck infection developed after extraction of a tooth: a case report and review of the literature in Japan.Oral Dis. 2002; 8: 224-226
- Diabetic ketoacidosis secondary to dento-alveolar infection.Int J Oral Maxillofac Surg. 2002; 31: 57-59
- Rhino-orbitocerebral mucormycosis: a case report and literature review.Med Oral Patol Oral Cir Bucal. 2008; 13: E792-E795
- Submandibular abscess caused by Salmonella.Int J Oral Maxillofac Surg. 2006; 35: 969-971
- Management of Ludwig's angina with small neck incisions: 18 years experience.Otolaryngol Head Neck Surg. 2004; 130: 712-717
- Deep neck infections in diabetic patients.Am J Otolaryngol. 2000; 21: 169-173
- Microbiology and antibiotic sensitivities of head and neck space infections of odontogenic origin.J Oral Maxillofac Surg. 2006; 64: 1377-1380
- Microbiology of odontogenic infections in deep neck spaces: a retrospective study.Br J Oral Maxillofac Surg. 2010; 48: 37-39
- Hospital management of diabetes.Endocrinol Metab Clin North Am. 2000; 29: 745-770
- An analysis of clinical risk factors of deep neck infection.Auris Nasus Larynx. 2011; 38: 101-107
- Early open thoracotomy and mediastinopleural irrigation for severe descending necrotizing mediastinitis.Eur J Cardiothorac Surg. 2005; 28: 384-388
- Ten years of descending necrotizing mediastinitis: management of 23 cases.J Oral Maxillofac Surg. 2007; 65: 1716-1724
- Deep neck infection: analysis of 185 cases.Head Neck. 2004; 26: 854-860
Article info
Publication history
Published online: February 20, 2012
Accepted:
January 29,
2012
Identification
Copyright
© 2012 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.