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Retropharyngeal Abscess

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2. Retropharyngeal abscess

Retropharyngeal abscess Retropharyngeal abscess - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Retropharyngeal abscess Last reviewed: February 2019 Last updated: March 2018 Summary Rare condition, which can be a life-threatening infection if not detected early. Potential threat to airway should always be considered. Symptoms may be non-specific (e.g., fever, dysphagia), especially in children under 2 years old. CT (...) scan of neck is the definitive investigation. Treatment includes use of intravenous antibiotics and surgical drainage. Definition Retropharyngeal abscess (RPA) is a neck infection involving abscess formation in the space between the pre-vertebral fascia and the constrictor muscles. Jennings CR. Surgical anatomy of the neck. In: Gleeson M, Hilbert JS, eds. Scott-Brown's otorhinolaryngology, head and neck surgery. 7th ed. London: Hodder Arnold; 2008:1744-1745. The condition occurs most frequently

2018 BMJ Best Practice

3. Destruction of the C2 Body due to Cervical Actinomycosis: Connection between Spinal Epidural Abscess and Retropharyngeal Abscess (PubMed)

Destruction of the C2 Body due to Cervical Actinomycosis: Connection between Spinal Epidural Abscess and Retropharyngeal Abscess Human actinomycosis with involvement of the spine is a rare condition, with only a limited number of case reports published. To the best of our knowledge, no cases have been reported of epidural abscess causing destruction of the C2 body, bringing about a direct connection between spinal epidural and retropharyngeal abscesses. Here, we present such a case

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2017 Korean Journal of Spine

4. Confluent Retropharyngeal, Lateral Pharyngeal, and Peritonsilar MRSA Abscess in an Infant. (PubMed)

Confluent Retropharyngeal, Lateral Pharyngeal, and Peritonsilar MRSA Abscess in an Infant. Neck abscesses such as retropharyngeal, peritonsilar, and lateral pharyngeal are well described, typically cause a characteristic illness, and have a known epidemiology. We present a rare occurrence of case of confluent, mixed retropharyngeal, lateral pharyngeal, and peritonsilar abscess in a 9-month-old female infant. The symptoms at presentation were very mild and not expected in association (...) with this extensive an abscess. The causative organism was methicillin-resistant Staphylococcus aureus.

2018 Pediatric Emergency Care

5. Difficult Intubation and Ventilation in an Infant With Retropharyngeal Abscess With Mediastinal Extension. (PubMed)

Difficult Intubation and Ventilation in an Infant With Retropharyngeal Abscess With Mediastinal Extension. A previously healthy 7-month-old male infant presented for evaluation of fever, deceased oral intake, and intermittent noisy breathing. Physical examination revealed neck tenderness. Soft tissue neck radiographs and computed tomography (CT) scan supported a diagnosis of retropharyngeal swelling with extension to the superior mediastinum. Surgical exploration was planned, and endotracheal (...) to the patient's deterioration. The subsequent clinical course was uneventful. The patient was extubated in a delayed fashion and discharged on the fourth postoperative day. This case highlights the importance of preparing for a difficult airway in cases of retropharyngeal abscesses that necessitate tracheal intubation. A multidisciplinary approach is best suited to manage the airway, preferably in the operating room.

2017 Pediatric Emergency Care

6. A Giant Pseudoaneurysm Mimicking Retropharyngeal Abscess in a Child. (PubMed)

A Giant Pseudoaneurysm Mimicking Retropharyngeal Abscess in a Child. Pseudoaneurysms of the cervical internal carotid artery are rare and usually result from trauma, infection, or rarely spontaneously. They harbor potential risk of life-threatening hemorrhage and warrant immediate management. Endovascular treatment in the form of stent placement and coiling is a well established technique for dealing with both intracranial and extracranial pseudoaneurysms. We present a case of a child who (...) presented with fever, neck swelling, dysphagia, and respiratory distress in emergency for which clinical diagnosis of a neck abscess was made. Intubation was not possible because of bulge in the retropharyngeal wall. An elective tracheotomy was planned with imaging of the neck. Imaging and careful planning to avoid incision and drainage in the initial presentation led us to diagnose a pseudoaneurysm and successful management. We present this case to highlight the importance of early recognition

2017 Pediatric Emergency Care

7. Complete Obstruction of Endotracheal Tube in an Infant with a Retropharyngeal and Anterior Mediastinal Abscess (PubMed)

Complete Obstruction of Endotracheal Tube in an Infant with a Retropharyngeal and Anterior Mediastinal Abscess Intraoperative ventilatory failure is not an uncommon complication; however, acute endotracheal obstruction by a foreign body or blood clot can be difficult to quickly discriminate from other causes. Once the diagnosis is made, quick action is needed to restore ventilation. The ultimate solution is to exchange the endotracheal tube; however, there can be other ways of resolving (...) this in situations where reintubation would be difficult or unsafe. This case report discusses such an event in an infant with multiple airway challenges including a retropharyngeal and anterior mediastinal abscess. We have also formulated a pathway based on various case reports involving complete ETT obstruction.

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2017 Case reports in pediatrics

8. A rare adult case of poststreptococcal acute glomerulonephritis with a retropharyngeal abscess (PubMed)

A rare adult case of poststreptococcal acute glomerulonephritis with a retropharyngeal abscess Retropharyngeal abscess is an infection involving the retropharyngeal space which is posterior to the pharynx and oesophagus, and it results as a complication of a primary infection elsewhere in the head and neck including the nasopharynx, paranasal sinuses, or middle ear, which drain lymph to the retropharyngeal lymph nodes. Their lymph nodes are prominent in children and atrophy with age. Therefore (...) , retropharyngeal abscess is most frequently encountered in children, with 75% of cases occurring before the age of 5 years, and often in the first year of life. We experienced a rare adult case of poststreptococcal acute glomerulonephritis with a retropharyngeal abscess, and conservative therapy ameliorated them. According to past reports, only one child with a retropharyngeal abscess and poststreptococcal acute glomerulonephritis has been presented at a conference to date; this is the first adult case

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2017 CEN Case Reports

9. Adult Recurrence of Kawasaki Disease Mimicking Retropharyngeal Abscess (PubMed)

Adult Recurrence of Kawasaki Disease Mimicking Retropharyngeal Abscess Kawasaki disease (KD) is an acute, self-limited vasculitis of unknown etiology that occurs predominantly in young children (≤5 years of age). We herein report the case of an 18-year-old Japanese man with a history of incomplete KD during infancy; later, despite an initial diagnosis of retropharyngeal abscess, he was ultimately diagnosed with retropharyngeal edema associated with recurrent KD. Adult-onset or recurrent KD (...) is an uncommon event, and retropharyngeal edema is a rare manifestation of this disease. Internists should be aware of the possibility of KD that mimics a retropharyngeal abscess, even in adult patients.

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2017 Internal Medicine

10. Concurrent Acute Glomerulonephritis and Retropharyngeal Abscess in 10 Year Boy: A Case Report (PubMed)

Concurrent Acute Glomerulonephritis and Retropharyngeal Abscess in 10 Year Boy: A Case Report Postinfectious Glomerulonephritis (PIGN) usually follows 1-2 weeks after respiratory tract infection and 4-6 weeks after skin infection. Acute Glomerulonephritis (AGN) is uncommon with simultaneous severe throat infections. We describe a 10-year-old boy who was presented with high grade fever, dysphagia and tender swelling over left side of neck. Examination also revealed enlarged multiple cervical (...) lymph nodes on the same side of neck. Magnetic Resonance Imaging (MRI) of soft tissue of neck revealed evidence of retropharyngeal abscess. The next day, he subsequently developed haematuria and oliguria with borderline raised blood pressure. His corresponding blood urea and serum antistreptolysin O (ASO) levels were raised with low C3 levels. He had a remarkable improvement on injectable broad spectrum antibiotics with complete resolution of fever and neck symptoms. At eight weeks follow up

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2017 Journal of clinical and diagnostic research : JCDR

11. Acute calcific tendinitis of the longus colli muscle masquerading as a retropharyngeal abscess: A case report and review of the literature (PubMed)

Acute calcific tendinitis of the longus colli muscle masquerading as a retropharyngeal abscess: A case report and review of the literature Acute calcific longus colli tendinitis, also known as retropharyngeal or acute calcific prevertebral tendinitis, is a reactive self-limiting inflammatory response to acute or subacute deposition of amorphous calcium hydroxyapatite crystals in the tendons of the longus colli muscle, anterior to the C1-C2 disk space.A 53-year-old man presented with a complaint (...) presentation could be easily misdiagnosed as a retropharyngeal abscess. However, the presence of subtle findings on CT would lead to the correct diagnosis. The management of this condition is mainly with nonsteroidal anti-inflammatory drugs.This study presents the characteristic radiological features of retropharyngeal calcific tendinitis. These features are subtle and could be missed. Once an accurate diagnosis is made, treatment with nonsteroidal anti-inflammatory drugs is indicated. The purpose

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2017 International journal of surgery case reports

12. Potential for severe airway obstruction from pediatric retropharyngeal abscess (PubMed)

Potential for severe airway obstruction from pediatric retropharyngeal abscess Retropharyngeal abscesses in the pediatric population can cause severe respiratory distress. We report a rare case of significant airway obstruction in a 14-month-old patient requiring rapid, emergent tracheotomy after attempts at endotracheal intubation by an experienced airway surgeon were unsuccessful. The patient was diagnosed with streptococcal pharyngitis 9 days prior to presentation to our facility

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2017 International medical case reports journal

13. Adult retropharyngeal abscess (PubMed)

Adult retropharyngeal abscess 29159072 2018 11 13 2214-2509 10 2017 IDCases IDCases Adult retropharyngeal abscess. 130-131 10.1016/j.idcr.2017.11.001 Tanigawa Tohru T Department of Otolaryngology, Aichi Medical University, Japan. Kano Fumiya F Department of Oral and Maxillofacial Surgery, Nagoya University Graduate School of Medicine, Japan. Inukai Daisuke D Department of Otolaryngology, Aichi Medical University, Japan. Kuruma Tessei T Department of Otolaryngology, Aichi Medical University

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2017 IDCases

14. Asymptomatic retropharyngeal abscess related to cervical Pott's disease. (PubMed)

Asymptomatic retropharyngeal abscess related to cervical Pott's disease. Pott's disease is an uncommon manifestation of tuberculosis, which usually involves thoracic or lumbar vertebrae. The body of the vertebrae is most severely affected and a compression fracture is an almost inevitable consequence of the disease. A paravertabral abscess generally accompanies vertebral involvement. Tenderness over the involved vertebrae, weakness of the related muscles, and paraesthesia are the usual symptoms (...) . In this article, we report a case of cervical Pott's disease presenting mainly with neurologic symptoms such as weakness, pain, numbness of both arms and hands, and an asymptomatic retropharyngeal abscess.

2017 American Journal of Otolaryngology

15. Varicella Infection Complicated by Group A Beta-Hemolytic Streptococcal Retropharyngeal Abscess (PubMed)

Varicella Infection Complicated by Group A Beta-Hemolytic Streptococcal Retropharyngeal Abscess An unimmunized 19-month-old child presented with a retropharyngeal abscess and coincident varicella infection. The abscess resolved with operative drainage. This is the first published report of this connection, although varicella is known to be associated with abscesses in general. Practitioners should be aware that cervical abscesses may complicate varicella infections.

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2016 Case reports in otolaryngology

16. Large retropharyngeal abscess: a case of mistaken identity (PubMed)

Large retropharyngeal abscess: a case of mistaken identity We report an unusual case of nasopharyngeal carcinoma (NPC), presenting initially as a retropharyngeal collection. We discuss the investigation, diagnosis and management of NPC and furthermore review the literature of NPC, emphasising the varied presentation. A 44-year-old Caucasian male ex-smoker presented with a 10-day history of a painless left-sided neck lump; progressive dysphagia and unintentional weight loss. Examination (...) demonstrated a large left posterior pharyngeal swelling with soft palatal effacement, confirmed on nasoendoscopy. A CT scan revealed a fluid collection in the retropharyngeal space, which partially occluded the nasopharynx, and numerous satellite lesions were identified along with cervical lymphadenopathy. The suspected abscess was drained in theatre and nasopharyngeal biopsies were taken. These revealed Epstein-Barr virus-positive NPC. Staging investigations revealed a T4N2M0l carcinoma. Treatment

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2016 BMJ case reports

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

Zygomatic haematoma in an 11-month-old helps diagnose retropharyngeal abscess, with concurrent tonsillitis and subsequent infant tonsillectomy 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. 2016 BMJ Publishing Group Ltd.

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2016 BMJ case reports

18. Large Retropharyngeal Abscesses in an Immunocompetent Adult Patient with Disseminated Tuberculosis (PubMed)

Large Retropharyngeal Abscesses in an Immunocompetent Adult Patient with Disseminated Tuberculosis BACKGROUND The retropharyngeal abscess is a rare presentation of head and neck tuberculosis. The pathogenesis of the abscess formation in the retropharyngeal space in the adult is controversial. CASE REPORT We report a case of large retropharyngeal abscesses in a 46-year-old man with disseminated tuberculosis. The patient had severe progressive dysphagia, weight loss, and a slowly enlarging (...) bilateral cervical mass during a period of three months. His posterior pharynx wall was bulging and red, and both tonsils were enlarged and congested. The neck had an abscess of 5 cm in diameter that was firm, tender, and warm along the left sternocleidomastoid muscle. Palpable bilateral lymphadenitis was detected in the submandibular, cervical, axillary, and inguinal regions. A computed tomographic (CT) scan of the neck revealed large bilobulated retropharyngeal abscesses. A liver ultrasound showed

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2016 The American journal of case reports

19. The effectiveness of conservative management for retropharyngeal abscesses greater than 2 cm (PubMed)

The effectiveness of conservative management for retropharyngeal abscesses greater than 2 cm Conservative management for retropharyngeal abscesses <2 cm is now a first line option. It is unclear if conservative management can be used to manage larger abscesses without increased morbidity and mortality.A prospective case series was performed from 2012 to 2015 by the Otolaryngology department of the San Fernando General Hospital involving pediatric patients who presented with retropharyngeal (...) abscesses. All patients were initially treated with antibiotics alone.Patients with clinical features and CT scan confirmation of a retropharyngeal abscess were included in the study. Those who improved clinically and biochemically within 48 h continued to be treated conservatively and those who deteriorated had surgical intervention.Sixteen patients fulfilled the inclusion criteria. Most patients were Afro Trinidadian males between the ages of two and five who were also found to be iron deficient

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2016 Annals of Medicine and Surgery

20. Retropharyngeal Abscess

Retropharyngeal Abscess Retropharyngeal Abscess Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Retropharyngeal Abscess (...) Retropharyngeal Abscess Aka: Retropharyngeal Abscess From Related Chapters II. Epidemiology Disease of infants and young children III. Pathophysiology Retropharyngeal lymph nodes not atrophied in children Accumulation of pus in retropharyngeal space Mixed aerobic and anaerobic flora IV. Symptoms (out of proportion to findings) V. Signs May be difficult to appreciate pharyngeal fullness VI. Radiology Lateral neck XRay Bulging of posterior pharyngeal wall CT Neck May demonstrate abscess extent VII. Management

2018 FP Notebook

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