Diferencia entre revisiones de «Masticator space infections»
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Facial swelling DDX}} | |||
==Treatment== | ==Treatment== | ||
*[[Clindamycin]] IV | *[[Clindamycin]] IV | ||
Revisión del 21:45 15 ene 2015
Background
- Consists of 4 contiguous potential spaces bounded by the muscles of mastication:
- Masseteric, superficial temporal, deep temporal, pterygomandibular
- Bacteria gain entry to the space from dental infections, trauma, surgery, injections
- Spaces communicate with the tissue planes that extend down the neck to the mediastinum
Clinical Features
- Facial swelling and erythema
- Trismus
- Fever, malaise, dysphagia
Diagnosis
- CT with IV contrast
Differential Diagnosis
Facial Swelling
- Buccal space infections
- Dental problems
- Canine space infection
- Facial cellulitis
- Herpes zoster
- Masticator space infections
- Maxillofacial trauma
- Neoplasm
- Parapharyngeal space infection
- Salivary gland diagnoses
- Parotitis
- Ranula
- Sialoadenitis
- Sialolithiasis
- Superior vena cava syndrome
Treatment
- Clindamycin IV
Disposition
- Admit
Source
- Tintinalli