{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T02:40:51Z","timestamp":1784860851506,"version":"3.55.0"},"reference-count":14,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,9,2]]},"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:p>Deep neck space infections (DNSIs) are challenging to diagnose and manage. A female ex-smoker presented with difficulty breathing and chest pain. She was initially treated for exacerbation of emphysema with intravenous antibiotics. The ear, nose and throat team were later asked to review the patient for left submandibular swelling and odynophagia. CT of the neck was performed 10 days later, due to limited availability during COVID-19. It showed an extensive retropharyngeal collection from the level of the vallecula to just above the carina. Normally, a DNSI extending to the mediastinum would require prompt surgical management. However, the patient was clinically well once imaged, so the abscess was managed conservatively with intravenous antibiotics.<\/jats:p>","DOI":"10.1136\/bcr-2022-250881","type":"journal-article","created":{"date-parts":[[2022,9,9]],"date-time":"2022-09-09T11:22:01Z","timestamp":1662722521000},"page":"e250881","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Deep neck space infection extending to the mediastinum that was treated conservatively"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7918-9189","authenticated-orcid":false,"given":"Haran","family":"Devakumar","sequence":"first","affiliation":[{"name":"ENT, Colchester General Hospital, Colchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhavesh","family":"Tailor","sequence":"additional","affiliation":[{"name":"ENT, Colchester General Hospital, Colchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5276-8802","authenticated-orcid":false,"given":"Sarah","family":"Law","sequence":"additional","affiliation":[{"name":"ENT, Colchester General Hospital, Colchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitrios","family":"Ioannidis","sequence":"additional","affiliation":[{"name":"ENT, Colchester General Hospital, Colchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,9,9]]},"reference":[{"key":"2025082710235025000_15.9.e250881.1","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1016\/j.amjoto.2011.01.003","article-title":"Deep neck space infections: a retrospective review of 173 cases","volume":"33","author":"Bakir","year":"2012","journal-title":"Am J Otolaryngol"},{"key":"2025082710235025000_15.9.e250881.2","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1111\/coa.12692","article-title":"Controversies in the management of deep neck space infection in children: an evidence-based review","volume":"42","author":"Lawrence","year":"2017","journal-title":"Clin Otolaryngol"},{"key":"2025082710235025000_15.9.e250881.3","doi-asserted-by":"crossref","first-page":"e88","DOI":"10.1016\/j.joms.2021.08.122","article-title":"Odontogenic infections are more frequent and more severe during COVID-19 pandemic","volume":"79","author":"Drew","year":"2021","journal-title":"Journal of Oral and Maxillofacial Surgery"},{"key":"2025082710235025000_15.9.e250881.4","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1186\/s40463-014-0035-5","article-title":"Factors associated with severe deep neck space infections: targeting multiple fronts","volume":"43","author":"Barber","year":"2014","journal-title":"J Otolaryngol Head Neck Surg"},{"key":"2025082710235025000_15.9.e250881.5","doi-asserted-by":"crossref","first-page":"1679","DOI":"10.1007\/s00405-013-2651-5","article-title":"Deep neck infections: risk factors for mediastinal extension","volume":"271","author":"Celakovsky","year":"2014","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"2025082710235025000_15.9.e250881.6","doi-asserted-by":"crossref","first-page":"1585-1592","DOI":"10.1007\/s00405-021-06945-9","article-title":"Deep neck infections with and without mediastinal involvement: treatment and outcome in 218 patients","volume":"279","author":"Gehrke","year":"2022","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"2025082710235025000_15.9.e250881.7","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2018-224634","article-title":"A severe deep neck odontogenic infection not prioritised by the emergency department triage system and national early warning score","volume":"2018","author":"Wates","year":"2018","journal-title":"BMJ Case Rep"},{"key":"2025082710235025000_15.9.e250881.8","unstructured":"A severe deep neck odontogenic infection not prioritised by the emergency department triage system and National Early Warning Score - PubMed. 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