頸部鈍的外傷後の血腫に遅発性に生じた深頸部膿瘍の1例

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  • A Case of Deep Neck Abscess Complicated with a Hematoma Due to a Blunt Injury
  • ケイブ ドンテキ ガイショウ ゴ ノ ケッシュ ニ チハツセイ ニ ショウジタ シンケイブ ノウヨウ ノ 1レイ

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<p>We herein report a case of deep neck abscess complicated with a hematoma due to a blunt injury. A 19-year-old woman, who belonged to the cheerleading team of a university, got a bruise on the left side of the neck due to a fall during practice. Since the neck swelling had not improved for one week, she consulted the orthopedics department of the general hospital. Magnetic resonance imaging (MRI) of the patient revealed crushing of the sternoclavicular muscle and a hematoma in the left deep neck. She was treated with hemostatic drugs on admission and was advised to rest. However, as the swelling in the neck worsened, she was referred to our department. She had trismus and the left side of her neck was reddish and swollen. Computed tomography (CT) detected an abscess in the deep neck area where the hematoma was present. The patient and her family preferred conservative therapy. Therefore she was initially treated with puncture drainage and antibiotics. Subsequently, bacteriological examination was performed, which revealed the pathogenic bacteria present in the abscess as Streptococcus pyogenes. The treatment was effective and she was discharged on the ninth day of hospitalization. CT was performed on the tenth day after discharge, and it confirmed that the abscess had disappeared. </p><p>We discussed the pathway of infection to the deep neck hematoma without an open wound. In general, open wounds are prone to bacterial contamination. However, it is notable that just a blunt injury may cause an abscess in the head and neck region. </p>

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