Retropharyngeal and parapharyngeal abscess in children—Epidemiology, clinical features and treatment

Grisaru‐Soen, Galia; Komisar, Orna; Aizenstein, Orna; Soudack, Michalle; Schwartz, David; Paret, Gideon

doi:10.1016/j.ijporl.2010.05.030

Cited by 119 publications

(106 citation statements)

References 23 publications

(42 reference statements)

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“…In this case we present a four month old infant who has had a two-week lasting respiratory tract infection and eventually developed deep neck infection at a very early age, without having fever. As far as we found in the literature, there are rare cases of develoment of retropharyngeal abscess at this early age [7,10,11,16,21,22]. Although the first working diagnosis was epiglottitis, both ceftriaxone (as a broad spectrum antibiotic) and azytromicin were introducted as initial therapy because of unvaccinatinated status of the child in order to treat possible pertusis.…”

Section: Discussionmentioning

confidence: 99%

“…Main goal of this presentation is to show broad complexity and wide differential diagnostic challenge in affebrile infants who present with respiratory distress. When taken into account, several epidemiological researches and retrospective studies have shown that approximately 30% pediatric patients do not present with fever or any history of preceeding illness [4,13,14,21,22] Althought our patient didn't have fever, clinician should also consider retropharyngeal abscess in children presenting with unexplained fever [5][6][7]13].…”

Section: Discussionmentioning

confidence: 99%

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Retropharyngeal Abscess in a Four Month Old Female Infant-Case Report

Katavić¹,

Štefanović²,

Vrsalović³

et al. 2016

Int J Pediatr Neonat Care

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Retropharyngeal abscess is acute suppurative infection of the retropharyngeal space. Most commonly it occurs in children younger than four years of age having history of streptoccocal pharyngitis. Clinical presentation similar to epiglottitis or foreign body aspiration makes distinguishing issues so the diagnosis of retropharyngeal abscess can initially be missled. Here we are illustrating four month old female infant with incipient presentation that clinically resembles epiglottitis. After the initial management in the intensive care unit clinical work-up was continued with multidysciplinary collaboration and the diagnosis of retropharyngeal abscess was given, treated both surgically and conservatively. Postoperative intensive care was then continued with subsequent clinical and biochemical improvement. This case demonstrates the need for broad thinking when dealing with affebrile child being respiratory distressed and during diagnostic work-up of a patient having fever of unknown origin.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Retropharyngeal Abscess in a Four Month Old Female Infant-Case Report

Katavić¹,

Štefanović²,

Vrsalović³

et al. 2016

Int J Pediatr Neonat Care

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“…[10] Retrofarengeal apseli hastaların mikrobiyolojik incelemeleri değerlendirildiğinde büyük çoğunluğunda aerob ve anaerob karışık flora bakterilerinin ürediği bildirilmiştir. [11] GrisaruSoen ve ark. [11] yapmış oldukları çalışmada retrofarengeal apse tanısı konulan 26 hastayı geriye dönük olarak incelenmişler ve hastaların sadece %4'ünde kan kültüründe üreme olduğunu, %28'inde ise ameliyat sırasında alınan apse kül-türünde üreme olduğunu bildirmişlerdir.…”

Section: Discussionunclassified

“…[11] GrisaruSoen ve ark. [11] yapmış oldukları çalışmada retrofarengeal apse tanısı konulan 26 hastayı geriye dönük olarak incelenmişler ve hastaların sadece %4'ünde kan kültüründe üreme olduğunu, %28'inde ise ameliyat sırasında alınan apse kül-türünde üreme olduğunu bildirmişlerdir. Bizim hastamızda ameliyat sırasında alınan apse kül-türünde üreme saptanmadı.…”

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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“…[1][2][3][4][5][6] La edad media de presentación es menor de 5 años. La sintomatología más frecuente es la rigidez del cuello, disfagia, dolor o una masa en el cuello.…”

Section: Introductionunclassified