Deep neck abscess with risk of airway obstruction in an infant. A case report
Abstract Introduction and objective: Retropharyngeal abscess are uncommon. They usually occur in children younger than 5 years and most of them are polymicrobial infections. Method: We report a case of a six-month-old boy with an abscess of 7 cm3 that required incision and transoral surgical drainage. We used the CARE checklist when writing our report [8]. Parents of patient gave their consent to use clinical data for publication. Discussion: Computed tomography of the neck is the diagnostic technique of choice. It has to be done when deep neck infections are suspected. Conservative treatment with intravenous antibiotics would be the first choice. Prompt surgical drainage would be needed if symptoms worsen or in large abscesses with risk of airway obstruction. Conclusions: Deep neck abscesses are uncommon in infants at present, but potentially serious. An early diagnosis and treatment are important to avoid severe complications.
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Brown NK, Hulten KG, Mason EO, Kaplan SL. Staphylococcus aureus retropharyngeal abscess in children. Pediatr. Infect. Dis. J. 2015;34(4):454-6.
https://doi.org/10.1097/INF.0000000000000599
PMid:25760568
Choche Santander B, Prieto del Prado A, Madrid Castillo MD, Neth O, Obando Santaella I. Abscesos retrofaríngeo y parafaríngeo: experiencia en hospital terciario de Sevilla durante la última década. An Pediatr (Barc) 2011;75(4):266-72.
https://doi.org/10.1016/j.anpedi.2011.03.010
PMid:21531183
Gagnier JJ, Kienle G, Altman DG, Moher D, Sox H, Riley D; the CARE Group. The CARE Guidelines: Consensus-based Clinical Case Reporting Guideline Development. (http://www.goodreports.org/care)
Grisaru-Soen G, Komisar O, Aizenstein O, Soudack M, Schwartz D, Paret G. Retropharyngeal and parapharygeal abscess in children - epidemiology, clinical features and treatment. Int J Pediatr Otorhinolaryngol 2010;74(9):1016-20.
https://doi.org/10.1016/j.ijporl.2010.05.030
PMid:20598378
Novis S, Pritchett C, Thorne M, Gordon H. Pediatric eep space neck infections in U.S. children, 2000-2009. Int J Pediatr Otorhinolaryngol 2014;78(5): 832-6.
https://doi.org/10.1016/j.ijporl.2014.02.024
PMid:24636748
Page NC, Bauer EM, Lieu JE. Clinical features and treatment of retropharyngeal abscess in children. Otolaryngol Head Neck Surg 2008;138(3):300-6. 2.
Ramos Díaz JC, Rizo Hoyos M, Ca-uelo Ruiz O, Trigo Moreno J, Fernández Gómez, E. Infecciones profundas del cuello: abscesos retro y parafaríngeos. An Pediatr (Barc) 2010;72(5):359-60.
https://doi.org/10.1016/j.anpedi.2010.01.007
PMid:20378428
Woods CR, Cash ED, Smith AM, Smith MJ, Myers JA, Espinosa CM, et al. Retropharyngeal and Parapharyngeal Abscesses Among Children and Adolescents in the United States: Epidemiology and Management Trends. J Pediatric Infect Dis Soc. 2016 Sep;5(3):259-68.
https://doi.org/10.1093/jpids/piv010
PMid:26407249
https://doi.org/10.1097/INF.0000000000000599
PMid:25760568
Choche Santander B, Prieto del Prado A, Madrid Castillo MD, Neth O, Obando Santaella I. Abscesos retrofaríngeo y parafaríngeo: experiencia en hospital terciario de Sevilla durante la última década. An Pediatr (Barc) 2011;75(4):266-72.
https://doi.org/10.1016/j.anpedi.2011.03.010
PMid:21531183
Gagnier JJ, Kienle G, Altman DG, Moher D, Sox H, Riley D; the CARE Group. The CARE Guidelines: Consensus-based Clinical Case Reporting Guideline Development. (http://www.goodreports.org/care)
Grisaru-Soen G, Komisar O, Aizenstein O, Soudack M, Schwartz D, Paret G. Retropharyngeal and parapharygeal abscess in children - epidemiology, clinical features and treatment. Int J Pediatr Otorhinolaryngol 2010;74(9):1016-20.
https://doi.org/10.1016/j.ijporl.2010.05.030
PMid:20598378
Novis S, Pritchett C, Thorne M, Gordon H. Pediatric eep space neck infections in U.S. children, 2000-2009. Int J Pediatr Otorhinolaryngol 2014;78(5): 832-6.
https://doi.org/10.1016/j.ijporl.2014.02.024
PMid:24636748
Page NC, Bauer EM, Lieu JE. Clinical features and treatment of retropharyngeal abscess in children. Otolaryngol Head Neck Surg 2008;138(3):300-6. 2.
Ramos Díaz JC, Rizo Hoyos M, Ca-uelo Ruiz O, Trigo Moreno J, Fernández Gómez, E. Infecciones profundas del cuello: abscesos retro y parafaríngeos. An Pediatr (Barc) 2010;72(5):359-60.
https://doi.org/10.1016/j.anpedi.2010.01.007
PMid:20378428
Woods CR, Cash ED, Smith AM, Smith MJ, Myers JA, Espinosa CM, et al. Retropharyngeal and Parapharyngeal Abscesses Among Children and Adolescents in the United States: Epidemiology and Management Trends. J Pediatric Infect Dis Soc. 2016 Sep;5(3):259-68.
https://doi.org/10.1093/jpids/piv010
PMid:26407249
López-Simón, E., Corriols-Noval, P., Castillo-Ledesma, N., & Morales-Angulo, C. (2019). Deep neck abscess with risk of airway obstruction in an infant. A case report. Revista ORL, 10(4), 313–317. https://doi.org/10.14201/orl.19703
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