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Date Published: 27/06/2023
Abstract Views: 429
Views PDF: 260
DOI: https://doi.org/10.51298/vmj.v527i1B.5713
Issue
Vol. 527 No. 1B (2023)
Section
Các bài báo
How to Cite
Ngô , V. C. ., & Trương , M. T. . (2023). CLINICAL AND PARACLINICAL FEATURES IN PATIENTS WITH SEVERE DEEP NECK INFECTIONS AND DIABETES MELLITUS AT CHO RAY HOSPITAL. Vietnam Medical Journal, 527(1B). https://doi.org/10.51298/vmj.v527i1B.5713

CLINICAL AND PARACLINICAL FEATURES IN PATIENTS WITH SEVERE DEEP NECK INFECTIONS AND DIABETES MELLITUS AT CHO RAY HOSPITAL

Văn Công Ngô 1,, Minh Thịnh Trương 2
1 Cho Ray hospital
2 University of Medicine and Pharmacy at Ho Chi Minh City

Main Article Content

Abstract

Objective: To investigate clinical and subclinical characteristics in patients with severe deep neck infections with diabetes mellitus and compare the difference between this group with the nondiabetic group. Methods: We did a descriptive study on 100 cases of severe deep neck infections treated at Cho Ray Hospital from 12/2019 to 12/2022. Results: In patients with severe deep neck infections with diabetes mellitus: dental cause was the most common (21.3%); Streptococcus sp (39.3%) and Klebsiella pneumoniae (26.2%) were the most commonly isolated organisms; there was an increase in leukocytes (14.7 ± 6.3 G/L) and CRP (235.6 ± 111.8 mg/L) on admission; airway obstruction (49.2%) and mediastinitis (36.1%) were the most common complications. Compared with the nondiabetic group, the diabetic group had a higher mean age (59.6y versus 52.9y; p=0.02) and more frequently isolated Klebsiella pneumoniae (26.2% versus 7.7%; p=0.02). Conclusion: Initial antibiotic therapy should cover Streptococcus sp and Klebsiella pneumoniae in patients with severe deep neck infections with diabetes mellitus.

Article Details

Keywords

Deep neck infections, diabetes mellitus, clinical features, complications

References

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