Neck infections/inflammation

Question 1

ludwig angina

Answer 1

cellulitis of floor of mouth&raquo_space; submental, sublingual, submandibular space

can displace tongue posteriorly to block airway
stranding/swelling of floor of mouth

Question 2

retropharyngeal abscess

Answer 2

often from spread of URI (pharyngitis) in kids or penetrating injury/fish bone/instrumentation in adults

suppuration/rupture from enlarged retropharyngeal LN
complication: airway compromise

Question 3

peritonsillar abscess

Answer 3

complication of peritonsillar LN suppuration&raquo_space; hot potato voice

Question 4

Lemierre syndrome

Answer 4

anaerobe: Fusobacterium necrophorum

venous thrombophlebitis of tonsillar/peritonsillar veins&raquo_space; IJ vein; enlargement/thrombosis/mural enhancement of veins

metastatic pulmonary abscesses may be present

immunocompetent adolescents/young adults

Question 5

bezold abscess

Answer 5

complication of otomastoiditis; necrosis of mastoid tip

opacification of middle ear/mastoid air cells; bony erosion of mastoid