Deep neck infectionの6症例

Six Cases of Deep Neck Infection

I．はじめに

　deep neck infectionは抗生剤の出現以前は重篤な疾患で，症例数も数多くみられたが，抗生剤および他の化学療法剤の開発進歩によりその頻度は激減した。しかしながら，最近，再び耐性菌および嫌気性菌による症例あるいは糖尿病に合併した症例の報告がなされ，増加する傾向にある。

　我々は当科開設の昭和51年以来6例のdeepneck infectionを経験した。これら症例を通じて，今日におけるdeep neck infectionの問題点について考察を行った。

　Up to date from 1975 six cases of deep neck infection were treated. Three patients had retropharyngeal infection. (Two cases had abscess and one case had inflammation.) Other three patients had submandibular abscess, parapharyngeal abscess and deep neck phlegmon.

　Reviewing the literature regarding deep neck infection in Japan from 1975, it was shown that deep neck infections had a tendency to increase. Bacteriologically, Streptococcus and Staphylococcus were commonly associated with deep neck infection, but infection with anaerobic bacteria and enteric gram negative microorganism were increased. About half of cases of deep neck phlegmon had diabetes mellitus as a complication.