{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T20:40:03Z","timestamp":1756327203731,"version":"3.44.0"},"reference-count":20,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,11,25]]},"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:p>A 38-year-old woman with Crohn\u2019s disease, under immunosuppressive therapy, was referred to the emergency department for severe progressive neck pain and fever, with 1\u2009week of evolution. She was unable to perform neck mobilisation due to the intense pain aroused. She referred dysphagia. Oral cavity, oropharynx, hypopharynx and larynx showed no alterations. She had an increased C reactive protein. Central nervous system infections were excluded by lumbar puncture. CT was normal. Only MRI showed T2 hyperintensity of the retropharyngeal and prevertebral soft tissues of the neck without signs of abscess. The patient was treated with broad spectrum antibiotics. Complications of deep neck infection include abscess formation, venous thrombosis and mediastinitis. In this case, no complications occurred. A high degree of clinical suspicion is essential as deep neck infections need to be promptly diagnosed and treated given their rapidly progressive character, especially in immunocompromised patients.<\/jats:p>","DOI":"10.1136\/bcr-2020-236415","type":"journal-article","created":{"date-parts":[[2020,12,22]],"date-time":"2020-12-22T18:18:21Z","timestamp":1608661101000},"page":"e236415","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Deep neck cellulitis: a challenging diagnosis"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5716-9737","authenticated-orcid":false,"given":"Ana Isabel","family":"Gon\u00e7alves","sequence":"first","affiliation":[{"name":"Otorhinolaryngology, Pedro Hispano Hospital, Porto, Matosinhos, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ditza","family":"Vilhena","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology, Pedro Hispano Hospital, Porto, Matosinhos, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Delfim","family":"Duarte","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology, Pedro Hispano Hospital, Porto, Matosinhos, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nuno","family":"Trigueiros","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology, Pedro Hispano Hospital, Porto, Matosinhos, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,12,18]]},"reference":[{"key":"2025082713163732000_13.12.e236415.1","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1080\/00016489.2016.1218048","article-title":"Deep neck cellulitis: limitations of conservative treatment with antibiotics","volume":"137","author":"Hirasawa","year":"2017","journal-title":"Acta Otolaryngol"},{"key":"2025082713163732000_13.12.e236415.2","doi-asserted-by":"publisher","DOI":"10.5090\/kjtcs.2012.45.3.171"},{"key":"2025082713163732000_13.12.e236415.3","unstructured":"Murray AD . 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