気管切開術を要した高齢者深頸部感染症の2例

Deep neck infection in geriatric patients with concomitant neurological disorders：Report of 2 cases required a tracheostomy followed by intensive antibiotic therapy

Ⅰ．はじめに

　認知症や変性疾患を伴う高齢者が急性疾患を発症した場合，みずから自覚症状を訴えることができず，診断，治療に苦慮することがしばしばある。今回，発熱を主訴に耳鼻咽喉科外来を初診後，急激に呼吸困難をきたし，気管切開を要した症例を2例経験したので，その病因について若干の文献的考察を加えて報告する。

　Two cases of geriatric deep neck infection were successfully treated by otorhinolaryngological managements including tracheostomy.

　Case 1：A 64-year-old woman with blood vessel-related dementia. Case 2：A 77-year-old woman with progressive supranuclear palsy（PSP）. Both cases presented with advanced deep neck infection, and were treated successfully with antibiotic therapy following tracheostomy. The geriatric patients with dementia or degenerative diseases lacking subjective symptoms needs aggressive survey by otorhinolaryngologists to prevent deep neck infection.