Retropharyngeal Abscess, Lateral Pharyngeal (Parapharyngeal) Abscess, and Peritonsillar Cellulitis/Abscess

Pappas, Diane E.; Hendley, J. Owen

doi:10.1016/b978-1-4377-0755-7.00374-2

Cited by 3 publications

(4 citation statements)

References 12 publications

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“…In a similar study of 67 paediatric patients with abscess of the head and neck, only 15 cases were determined to have submandibular, parapharyngeal, or retropharyngeal space involvement, and only nine were attributed to dental infection. 4,5,[10][11][12][13] In our study the submandibular space was the most affected across all adolescents. Submandibular space infections are usually odontogenic in origin and are less RESEARCH < 479 prevalent in babies or younger children than adolescents.…”

Section: Discussionmentioning

confidence: 98%

Deep neck space infections in Adolescents

Maharaj

Mungul

2021

S. Afr. dent. j.

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Adolescent deep neck space infection is an important pathology that often requires hospitalization for antimicrobial therapy. The aim of the study was to identify the inciting organisms and their resistance profiles in the adolescent population of patients with deep neck space infection. We performed a single-center cross-sectional retrospective analysis of patients between 10 and 16 years of age, with deep neck space infections. From the 319 cases of deep neck space infections that presented over the study period, nine patients met the criteria to be included in the study. The mean age being 11.8 years. The microbiology of the specimens revealed mainly Staphylococcus and Streptococcus species and in some patients microscopy and culture showed no predominant bacteria. There was an overall 86% resistance of organisms to penicillin and ampicillin but most organisms were sensitive to amoxicillin-clavulanic acid Deep neck space infections in adolescents can initially be managed with amoxicillin-clavulanic acid, source control and surgical drainage if required. Culture directed therapy can be initiated after microbiology results. The spaces involved are similar to adults with 44% of patients having deep neck abscess secondary odontogenic infection. The microbiology however is similar to that of children with Streptococcus and staphylococcus species being the most predominant.

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Section: Discussionmentioning

confidence: 98%

Deep neck space infections in Adolescents

Maharaj

Mungul

2021

S. Afr. dent. j.

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“…Localized infection of the oropharynx can result in extension to regional lymph nodes. Bacteria of one infected node can spread to other nodes, as the lymph nodes in the deep neck space are in communication with one other9). This situation is not common, among immunocompetent young infants.…”

Section: Discussionmentioning

confidence: 99%

Retropharyngeal abscess coinfected withStaphylococcus aureusandMycobacterium tuberculosisafter rhinoviral infection in a 1-month-old infant

et al. 2013

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A retropharyngeal abscess is a rare disease entity in young infants but can develop after nasopharyngeal viral infection. Group B Streptococcus and Staphylococcus aureus are the most common pathogens in young infants, however, Mycobacterium tuberculosis is very rare. We report the case of retropharyngeal abscess and coinfection with S. aureus and M. tuberculosis in a very young infant presenting with respiratory symptoms due to upper airway obstruction. Usually tuberculous retropharyngeal abscesses are caused by the direct invasion of the bacteria from the spine via anterior longitudinal ligament of the spine. However, in this case, no associated spinal disease was observed.

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“…There are reports of infants who presented with severe respiratory distress owing to retropharyngeal abscesses 4 . Although physical findings may include swelling of the posterior pharyngeal wall, this has only been observed in <50% of infant cases whose pharyngeal space is narrow 1 . It is difficult to diagnose RPA on physical examination and nasolaryngoscopy in infants.…”

Section: Figmentioning

confidence: 99%

“…Retropharyngeal abscesses (RPAs) are typically found between the posterior pharyngeal wall and the anterior aspect of the cervical spine. Retropharyngeal lymph nodes are physiologically large in early childhood, so RPA is most prevalent from 1 to 4 years of age 1 . Its symptoms include neck stiffness, sore throat, neck pain, and rarely, respiratory problems.…”

Section: Figmentioning

confidence: 99%