Shashi Vadhan Senior Consultant, Department of Emergency Medicine, Manipal Hospitals, Bangalore, Karnataka, India
Saurabh Varma Senior Registrar, Department of Emergency Medicine, Manipal Hospitals, Bangalore, Karnataka, India
Harshit Mundra Senior Consultant, Department of Emergency Medicine, Manipal Hospitals, Bangalore, Karnataka, India
Mabel Vasnaik Senior Consultant and Head of Department Emergency Medicine, Manipal Hospitals, Bangalore, Karnataka, India
Address for correspondence: Shashi Vadhan, Senior Consultant, Department of Emergency Medicine, Manipal Hospitals, Bangalore, Karnataka, India E-mail: shashivadhan@yahoo.com
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Varma S, Vadhan S, Mundra H, et al. Disseminated Deep Neck Space Infection in an Immunocompetent Adult: A Case Report. Indian J Emerg Med. 2026;12(1):35-38.
Timeline
Received : October 14, 2025
Accepted : December 22, 2025
Published : March 30, 2026
Abstract
We report a case of a 70-year-old male who presented to the emergency department with throat pain for 1 week, which had worsened in the last 3 days. Initial impression on history and clinical examination was that of a peritonsillar abscess, but on further investigation, he was found to have a disseminated deep neck space
infection involving the epiglottis as well as the trachea. This case report enlightens the need for a high index of suspicion in emergency physicians for supraglottic as well as infraglottic involvement in a patient with eritonsillar abscess, which could lead to an impending airway emergency with a difficult anatomical airway.
2. Swain S.K., Shajahan N., Debta P. Acute epiglottitis: A life-threatening clinical entity. Journal of Clinical and Scientific Research. 2020 Jun; 9(2): 110.
3. Burton L.V., Lofgren D.H., Silberman M. Bacterial Tracheitis. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 [cited 2025 Jul 16]. Available from: http:// www.ncbi.nlm.nih.gov/books/NBK470240/.
4. Bal K.K., Unal M., Delialioglu N., Oztornaci RO, Ismi O, Vayisoglu Y. Diagnostic and therapeutic approaches in deep neck infections: an analysis of 74 consecutive patients. Brazilian Journal of Otorhinolaryngology. 2022 Jul; 88(4): 511–22.
5. Brook I. Microbiology and principles of antimicrobial therapy for head and neck infections. Infect Dis Clin North Am. 2007 Jun; 21(2): 355-91, vi. doi: 10.1016/j.idc.2007.03.014. PMID: 17561074.
Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
Whether all authors contributed significantly to the work and approve its publication
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
No conflicts of interest in this work.
About this article
Cite this article
Varma S, Vadhan S, Mundra H, et al. Disseminated Deep Neck Space Infection in an Immunocompetent Adult: A Case Report. Indian J Emerg Med. 2026;12(1):35-38.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.