Retropharyngeal abscess and stridor in infants

Martins, Regina Helena Garcia; Castilho, Emanuel Celice; Weber, Silke Anna Theresa; Semenzati, Graziela de Oliveira; Campos, Lígia Maria Pirani de

doi:10.1016/s1808-8694(15)30799-0

Cited by 1 publication

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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%

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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