Retropharyngeal abscess presenting with upper airway obstruction

Hari, M. S.; Nirvala, K. D.

doi:10.1046/j.1365-2044.2003.32694.x

Cited by 9 publications

(5 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…She was initially admitted for croup, however progressing respiratory insufficiency prompted a CT scan and identified an RPA 9. A 13-month-old presenting with torticollis, stridor and dysphasia and aetiology initially uncertain was diagnosed with an RPA 10. In a third case, again after diagnostic delay, a mastoid abscess was found to be aetiological in a 9-month-old with RPA who presented with 1-week history of torticollis 11.…”

Section: Discussionmentioning

confidence: 90%

Zygomatic haematoma in an 11-month-old helps diagnose retropharyngeal abscess, with concurrent tonsillitis and subsequent infant tonsillectomy

Collis

Sanu

2016

BMJ Case Reports

View full text Add to dashboard Cite

An 11-month-old boy presented with a 2-day history of non-specific symptoms and a zygomatic haematoma. With aetiology uncertain after admission clerking and blood tests, a CT head scan was arranged for suspected traumatic injury and revealed a retropharyngeal abscess (RPA) with significant airway narrowing in the transverse plane. The patient received urgent intraoral abscess drainage and bilateral tonsillectomy in theatre. This case highlights the need for a high index of suspicion regarding RPAs. These abscesses have potentially fatal sequelae and are difficult to diagnose in the infant paediatric population.

show abstract

Section: Discussionmentioning

confidence: 90%

Zygomatic haematoma in an 11-month-old helps diagnose retropharyngeal abscess, with concurrent tonsillitis and subsequent infant tonsillectomy

Collis

Sanu

2016

BMJ Case Reports

View full text Add to dashboard Cite

show abstract

“…Staphylococcus aureus is a common pathogen of retropharyngeal abscesses[3,7]. The patient had blood cultures (from left and right hands at the same time) on admission when she had chills and fever.…”

Section: Discussionmentioning

confidence: 99%

“…Adult RPA is very rare as the lymph nodes in the retropharyngeal space gradually degenerate after the age of 5 years. RPA may lead to complications such as acute airway obstruction, jugular necrotizing fasciitis, mediastinitis, aspiration pneumonia, thrombosis of the jugular vein, carotid artery erosion, and sepsis when diagnosis and treatment of the disease are delayed or the disease progresses, and some severe cases are life-threatening[1-3]. Herein, we present a case of RPA with acute airway obstruction as the main manifestation in a 66-year-old woman.…”

Section: Introductionmentioning

confidence: 99%

Retropharyngeal abscess presenting as acute airway obstruction in a 66-year-old woman: A case report

Lin¹,

Wu²,

Feng³

et al. 2019

WJCC

View full text Add to dashboard Cite

BACKGROUNDAdult retropharyngeal abscess (RPA) is extremely rare, and most cases reported in the literature were related to tuberculous infection. We present a case of RPA with acute airway obstruction as the main manifestation in a 66-year-old woman that was considered to be non-tubercular suppurative inflammation in the retropharyngeal space.CASE SUMMARYA 66-year-old woman complaining of chills and fever was admitted to our hospital. She was initially diagnosed with an acute upper respiratory tract infection. She lost consciousness twice during hospitalization. She regained consciousness immediately upon emergency tracheal intubation. Acute upper airway obstruction was suspected as arterial blood gas analysis showed obvious acute retention of carbon dioxide before the second tracheal intubation. The diagnosis of RPA was confirmed by computed tomography and magnetic resonance imaging. Kocuria kristinae was isolated from blood samples taken from both hands. The patient recovered and was subsequently discharged after receiving antibiotic therapy together with surgical incision and drainage of the abscess.CONCLUSIONClinicians should be alert to the possibility of RPA in patients with acute airway obstruction. Surgical incision and drainage is an effective treatment for RPA.

show abstract

“…Normally the traditional approach in pediatric anesthesia is an inhalation induction with Halothane/Sevoflurane and Oxygen, possibly with Nitrous oxide, for patients with a compromised airway. 8 But with the inadequate monitoring facilities like (BIS monitor) it would be very difficult to assess the depth and timing of manipulation of the airway. 9 So we adopted the rapid sequence technique, pre oxygenated the child for more than five minutes and IV induction was done.…”

Section: Discussionmentioning

confidence: 99%

Anaesthetic Management of a Two Year Old Child With Retropharyngeal Abscess

Lokesh¹,

Shivakumar²,

Krishna³

et al. 2014

jemds

View full text Add to dashboard Cite

A two year old boy weighing 10kg presented with history of fever, neck swelling, difficulty in swallowing and breathing. On examination of the child and neck X-ray (lateral view) confirmed it as retropharyngeal abscess. Child was posted for incision and drainage on an emergency basis. We present this case as it poses great challenge to the anesthesiologist due to difficult intubation and in techniques managing difficult airway particularly in the pediatric patients.

show abstract

Retropharyngeal abscess presenting with upper airway obstruction

Cited by 9 publications

References 3 publications

Zygomatic haematoma in an 11-month-old helps diagnose retropharyngeal abscess, with concurrent tonsillitis and subsequent infant tonsillectomy

Zygomatic haematoma in an 11-month-old helps diagnose retropharyngeal abscess, with concurrent tonsillitis and subsequent infant tonsillectomy

Retropharyngeal abscess presenting as acute airway obstruction in a 66-year-old woman: A case report

Anaesthetic Management of a Two Year Old Child With Retropharyngeal Abscess

Contact Info

Product

Resources

About