Acute cervical lymphadenitis and infections of the retropharyngeal and parapharyngeal spaces in children

Georget, Emilie; Gauthier, Anne‐Sophie; Brugel, L.; Verlhac, Suzanne; Rémus, Natacha; Epaud, Ralph; Madhi, Fouad

doi:10.1186/1472-6815-14-8

Cited by 25 publications

(13 citation statements)

References 17 publications

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“…[3][4][5][6] Çoğunlukla üst solunum yolu enfeksiyonuna ikincil gelişen lenf nodlarının süpürasyonuna bağlı olarak oluşur. [7] Sıklıkla çocukluk çağında görülür ve ortalama görülme yaşı 3 ay-3 yaş olarak değişmektedir. [5] Çocukluk çağında yetişkinlere oranla daha sık görülmesi-nin en önemli nedeni retrofarengeal lenf nodlarının beş yaşından sonra atrofiye uğramasıdır.…”

Section: Discussionunclassified

Giant retropharyngeal abscess in pediatric patient: case report

Demir

Doğan²,

Ecevit³

2016

Kulak Burun Bogaz Ihtis Derg

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ÖZÜç aydır devam eden boğaz ağrısı ve bir aydır devam eden ağrılı boyun şişliği nedeniyle başka bir merkeze başvuran iki yaşındaki kız hastaya antibiyoterapi başlanmış, ancak iyileşme sağlanamamıştı. Daha sonra, hasta kliniğimize yönlendirildi ve manyetik rezonans görüntülemede boyunun her iki lateral alanına uzanan bir apse saptandı. Hastaya acil cerrahi drenaj uygulandı. Yaraya rifampisin ile pansuman yapıldı ve hastaya parenteral antibiyoterapi başlandı. Hastada dramatik bir iyileşme gözlendi ve herhangi bir komplikasyon olmadı.Anahtar Sözcükler: Enfeksiyon; boyun; pediatrik; retrofarengeal apse. ABSTRACTA two-year-old girl patient, who presented to another center with three months of sore throat and one month of neck swelling with pain, was initiated antibiotherapy but no healing was achieved. Afterwards, the patient was directed to our clinic and an abscess was detected in magnetic resonance imaging extending in both lateral spaces of the neck. The patient was performed surgical drainage urgently. The wound was dressed with rifampicin and the patient was started parenteral antibiotherapy. A dramatic recovery was observed and no complication occurred in the patient.

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Section: Discussionunclassified

Giant retropharyngeal abscess in pediatric patient: case report

Demir

Doğan²,

Ecevit³

2016

Kulak Burun Bogaz Ihtis Derg

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“…In the course of frequent acute inflammatory ailments of the upper respiratory tract in children lymph nodes situated in the retropharyngeal space may be subject to inflammation [7,9]. In some cases the inflammation of retropharyngeal lymph nodes can be of a suppurative nature [7,9,10]. In the case of the suppuration of Henle lymph nodes retropharyngeal abscess occurs [7,9,10,11].…”

Section: Introductionmentioning

confidence: 99%

“…In some cases the inflammation of retropharyngeal lymph nodes can be of a suppurative nature [7,9,10]. In the case of the suppuration of Henle lymph nodes retropharyngeal abscess occurs [7,9,10,11]. Starting at the age of about 5, retropharyngeal lymph nodes undergo spontaneous atrophy and, as a consequence, the retropharyngeal space in adults is filled only with flaccid connective tissue [12].…”

Section: Introductionmentioning

confidence: 99%

“…This ailment occurs almost exclusively in children, of whom the vast majority are under 5 years of age [4,5]. This is due to the fact that at the age of about 4-5 years the retropharyngeal space is filled with lymph nodes (Henle nodes) [1,3,6,7]. After this time, according to Cmejrek et al, retropharyngeal lymph nodes undergo spontaneous regression [8].…”

Section: Introductionmentioning

confidence: 99%

“…Retropharyngeal lymph nodes collect lymph from the nasal cavity, pharynx, maxillary sinuses and pharyngeal tonsil [9,10]. In the course of frequent acute inflammatory ailments of the upper respiratory tract in children lymph nodes situated in the retropharyngeal space may be subject to inflammation [7,9]. In some cases the inflammation of retropharyngeal lymph nodes can be of a suppurative nature [7,9,10].…”

Section: Introductionmentioning

confidence: 99%

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Ropień zagardłowy u 56-letniego mężczyzny – rzadkie powikłanie zębopochodnego stanu zapalnego. Własna propozycja skutecznego drenażu

Sikora¹,

Sielski²,

Stąpor³

et al. 2017

Pomeranian J Life Sci

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Retropharyngeal abscess in adults occurs rarely. In a small number of patients it arises as a complication of odontogenic inflammation, as in the case we describe. The key task in the treatment of patients with retropharyngeal abscess is to make the correct diagnosis. The image examination of choice in adult patients with suspected retropharyngeal abscess should be computed tomography with contrast. After making the correct diagnosis it is necessary to initiate the appropriate treatment (conservative or surgical). In cases treated surgically the effective and free approach to retropharyngeal space is transcervical access. The effective drainage of the retropharyngeal space using the rinsing drain devised by the authors enabled the total evacuation of residual suppurative content and prevented dangerous complications, such as descending necrotic mediastinitis, leading to the recovery of the patient. Keywords: computed tomography with contrast; drainage of retropharyngeal space; retropharyngeal abscess; rinsing drain. ABSTRAKTRopień zagardłowy u osób dorosłych jest schorzeniem występującym rzadko. W niewielkiej liczbie przypadków jest to powikłanie zębopochodnego stanu zapalnego implikowanego przyjmowaniem metotreksatu. Przypadek taki został opisany w niniejszej pracy. W rozpoznaniu ropnia zagardłowego istotną rolę odgrywa diagnostyka obrazowa ze wskazaniem na tomografię komputerową szyi z kontrastem. Po właściwym ustaleniu rozpoznania niezbędne jest szybkie wdrożenie właściwego postępowania terapeutycznego: zachowawczego w postaci antybiotykoterapii o szerokim spektrum, a w uzasadnionych sytuacjach również chirurgicznego. U chorych leczonych chirurgicznie stosuje się przezszyjny dostęp do przestrzeni zagardłowej. W przypadku opisanym w niniejszej pracy zastosowano drenaż przestrzeni zagardłowej za pomocą drenu płuczącego własnej konstrukcji, który umożliwił skuteczne odprowadzenie treści ropnej. Postę-powanie to pozwoliło na uniknięcie niebezpiecznego powikłania, jakim jest zstępujące martwicze zapalenie śródpiersia, i umoż-liwiło całkowite wyleczenie chorego. Słowa kluczowe: dren płuczący; drenaż przestrzeni zagardło-wej; ropień zagardłowy; tomografia komputerowa z kontrastem.

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Pediatric Ear, Nose, and Throat Field Infectious Disease Emergencies

Karakılıç¹,

Çanakçı²,

Prokopakis³

2021

Pediatric ENT Infections

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Acute pharyngitis is a clinical condition that is very common in childhood, can be applied in all seasons, and should be considered because of possible complications and essential diseases in the differential diagnosis. It is essential to differentiate superficial and deep infections in all age groups. Especially in patients with a toxic appearance, drooling, stridor changes, phonation changes, trismus, and torticollis cause red flags in patients presenting with a sore throat [2].General symptoms are sore throat, fever, odynophagia, headache, abdominal pain, vomiting, cough, coryza, diarrhea, arthralgia, myalgia, and lethargy. However, it is widely known that most infections are self-limiting and regress within days [2,3].Due to the Covid-19 pandemic, children with a sore throat should be questioned in terms of possible cases [4]. In order to prevent the spread of the disease, appropriate isolation methods should be provided. Although the most important causes of fever in the pediatric age group are pharyngitis and otitis media, patients should be swabbed if deemed necessary.It is known that the most common causes of acute pharyngitis are viral [5]. Adenoviruses, coronaviruses, enteroviruses, rhinoviruses, herpes simplex, influenza, Epstein Barr, and influenza are frequent pathogens causing pharyngitis [2, 3]. GABHS, group C and G streptococci, and mycoplasma pneumonia are common bacteria in pharyngitis [3]. Viral Pharyngitis Definition and EtiologyAs mentioned above, there are many different infection source microorganisms. Almost all of these microorganisms cause patients to consult a doctor with similar complaints. In infants, the clinic is mostly uneasy, fever, general indulgence, not sucking, while sore throat, anorexia, fever, and odynophagia are observed in the play age and school age. Apart from these common infections, clinically significant EBV, CMV, and HIV should be evaluated.Classical fever, pharyngitis, and anterior cervical lymphadenopathy in children also in EBV infections [6]. It progresses asymptomatically in most children [7]. Especially in children under 4 years of age, the heterophile antibody test may be falsely negative in diagnosis. Therefore, IgM and IgG tests and EBV DNA evaluation can be performed in case of clinical suspicion [2,7,8]. Since exudative pharyngitis may be seen, pruritic maculopapular eruptions may be characteristic after prescribed penicillin antibiotics [2,3].CMV infections also come with symptoms similar to EBV. Negative monospot test used to detect heterophile antibodies in diagnosis and contact with a person

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Acute cervical lymphadenitis and infections of the retropharyngeal and parapharyngeal spaces in children

Cited by 25 publications

References 17 publications

Giant retropharyngeal abscess in pediatric patient: case report

Giant retropharyngeal abscess in pediatric patient: case report

Ropień zagardłowy u 56-letniego mężczyzny – rzadkie powikłanie zębopochodnego stanu zapalnego. Własna propozycja skutecznego drenażu

Pediatric Ear, Nose, and Throat Field Infectious Disease Emergencies

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