A severe deep neck odontogenic infection not prioritised by the emergency department triage system and National Early Warning Score

A 62-year-old man with a background of type 2 diabetes mellitus presented to the emergency department (ED) with a 5-day history of dental pain, progressive right facial swelling, trismus, dysphagia and voice changes. The oropharynx could not be directly examined completely due to trismus. The patien...

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Detalles Bibliográficos
Autores principales: Wates, Emma, Higginson, James, Kichenaradjou, Andre, McVeigh, Kieron
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Learning from Errors
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5950619/
https://www.ncbi.nlm.nih.gov/pubmed/29735507
http://dx.doi.org/10.1136/bcr-2018-224634
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author Wates, Emma
Higginson, James
Kichenaradjou, Andre
McVeigh, Kieron
author_facet Wates, Emma
Higginson, James
Kichenaradjou, Andre
McVeigh, Kieron
author_sort Wates, Emma
collection PubMed
description A 62-year-old man with a background of type 2 diabetes mellitus presented to the emergency department (ED) with a 5-day history of dental pain, progressive right facial swelling, trismus, dysphagia and voice changes. The oropharynx could not be directly examined completely due to trismus. The patient had a National Early Warning Score of 0 and so was triaged into the ‘minors’ section of ED. Following assessment by the on-call oral and maxillofacial surgeon, an urgent contrast-enhanced CT demonstrated a large parapharyngeal collection, which required urgent anaesthetic and surgical intervention. The patient developed pulmonary complications postoperatively, but eventually made a full recovery.
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spelling pubmed-59506192018-05-15 A severe deep neck odontogenic infection not prioritised by the emergency department triage system and National Early Warning Score Wates, Emma Higginson, James Kichenaradjou, Andre McVeigh, Kieron BMJ Case Rep Learning from Errors A 62-year-old man with a background of type 2 diabetes mellitus presented to the emergency department (ED) with a 5-day history of dental pain, progressive right facial swelling, trismus, dysphagia and voice changes. The oropharynx could not be directly examined completely due to trismus. The patient had a National Early Warning Score of 0 and so was triaged into the ‘minors’ section of ED. Following assessment by the on-call oral and maxillofacial surgeon, an urgent contrast-enhanced CT demonstrated a large parapharyngeal collection, which required urgent anaesthetic and surgical intervention. The patient developed pulmonary complications postoperatively, but eventually made a full recovery. BMJ Publishing Group 2018-05-07 /pmc/articles/PMC5950619/ /pubmed/29735507 http://dx.doi.org/10.1136/bcr-2018-224634 Text en © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Learning from Errors
Wates, Emma
Higginson, James
Kichenaradjou, Andre
McVeigh, Kieron
A severe deep neck odontogenic infection not prioritised by the emergency department triage system and National Early Warning Score
title A severe deep neck odontogenic infection not prioritised by the emergency department triage system and National Early Warning Score
title_full A severe deep neck odontogenic infection not prioritised by the emergency department triage system and National Early Warning Score
title_fullStr A severe deep neck odontogenic infection not prioritised by the emergency department triage system and National Early Warning Score
title_full_unstemmed A severe deep neck odontogenic infection not prioritised by the emergency department triage system and National Early Warning Score
title_short A severe deep neck odontogenic infection not prioritised by the emergency department triage system and National Early Warning Score
title_sort severe deep neck odontogenic infection not prioritised by the emergency department triage system and national early warning score
topic Learning from Errors
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5950619/
https://www.ncbi.nlm.nih.gov/pubmed/29735507
http://dx.doi.org/10.1136/bcr-2018-224634
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