Evidence map›Paper›PMID 33370930›Full record

ArticleBMJ case reports2020

Deep neck cellulitis: a challenging diagnosis.

Ana Isabel Gonçalves, Ditza Vilhena, Delfim Duarte, Nuno Trigueiros

Abstract readCase Reports
In one paragraph

Article in BMJ case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ana Isabel GonçalvesOtorhinolaryngology, Pedro Hispano Hospital, Porto, Matosinhos, Portugal gc.anaisabel@gmail.com.ORCID http://orcid.org/0000-0001-5716-9737
Ditza VilhenaOtorhinolaryngology, Pedro Hispano Hospital, Porto, Matosinhos, Portugal.
Delfim DuarteOtorhinolaryngology, Pedro Hispano Hospital, Porto, Matosinhos, Portugal.
Nuno TrigueirosOtorhinolaryngology, Pedro Hispano Hospital, Porto, Matosinhos, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 38-year-old woman with Crohn's disease, under immunosuppressive therapy, was referred to the emergency department for severe progressive neck pain and fever, with 1 week 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.

Indexed as

CellulitisNeckNeck PainAdultAnti-Bacterial AgentsCeftriaxoneCentral Nervous System InfectionsClindamycinC-Reactive ProteinCrohn DiseaseDiagnosis, DifferentialEarly Medical InterventionHumansImmunosuppressive AgentsMagnetic Resonance ImagingRetropharyngeal AbscessAnti-Bacterial AgentsCeftriaxoneClindamycinC-Reactive ProteinImmunosuppressive Agentsearinfectionsnose and throat/otolaryngology

Identifiers

PMID33370930
PMCPMC7751200

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.