id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-022119-bzd9e1q6	Orzell, Susannah	Pharyngitis and Pharyngeal Space Infections: fever, sore throat, difficulty swallowing	2018-10-15		.txt	text/plain	7308	416	44	Deep neck space infections can also extend directly into the mediastinum or the lungs causing life-threatening mediastinitis or pneumonia, underscoring the importance of early recognition and treatment. The initial approach to a patient with suspected pharyngitis or parapharyngeal space infection, however, should always include a careful assessment for signs of airway compromise. Patients with persistent symptoms, who do not respond to empiric therapy based on the suspected diagnosis of infection, should undergo additional diagnostic testing to evaluate for the presence of the more unusual infectious and noninfectious entities. Deep neck space infections can present as discrete organized abscesses within specific neck spaces, as a soft tissue phlegmons without clearly forming collections of pus, or rarely, as a very rapidly destructive life-threatening process called necrotizing fasciitis. Complications of bacterial pharyngitis and deep neck space infections are uncommon, particularly if appropriate antibiotic therapy has been instituted and immediate surgical concerns have been addressed; however direct extension and invasion into surrounding structures or spaces are always a risk.	./cache/cord-022119-bzd9e1q6.txt	./txt/cord-022119-bzd9e1q6.txt