Retropharyngeal Abscess in a Fourteen-Month-Old Child Presenting with Dysphagia and Obstructive Sleep Apnea: A Case Report

Retropharyngeal abscess is a relatively uncommon midline deep neck space infection that extends from the base of the skull to the posterior mediastinum, situated between the buccopharyngeal and alar fascias. In this case report, we present a 14-month-old previously healthy female patient who had a h...

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Autores principales: Zahar Alkhadem, Lubna Lutfi, Doha Ali, Asma Anan Mohammed, Iyad Said Hamadi
Formato: article
Lenguaje:EN
Publicado: Karger Publishers 2021
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Acceso en línea:https://doaj.org/article/7d4101175409422e98dc12b56466c025
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spelling oai:doaj.org-article:7d4101175409422e98dc12b56466c0252021-11-04T14:40:32ZRetropharyngeal Abscess in a Fourteen-Month-Old Child Presenting with Dysphagia and Obstructive Sleep Apnea: A Case Report2571-726X10.1159/000519164https://doaj.org/article/7d4101175409422e98dc12b56466c0252021-10-01T00:00:00Zhttps://www.karger.com/Article/FullText/519164https://doaj.org/toc/2571-726XRetropharyngeal abscess is a relatively uncommon midline deep neck space infection that extends from the base of the skull to the posterior mediastinum, situated between the buccopharyngeal and alar fascias. In this case report, we present a 14-month-old previously healthy female patient who had a high-grade fever for 7 days, associated with neck stiffness and restriction of neck movements to the right side. Her parents noticed decreased oral intake associated with dysphagia, muffled quality of voice, and obstructive sleep apnea. However, the patient had no clinical signs of mechanical obstruction on examination. A contrast-enhanced computed tomography scan of the neck showed a large retropharyngeal septated fluid collection measuring 8 × 3 × 6 cm, which was categorized as a large retropharyngeal abscess that was complicated by descending mediastinitis. The patient was taken immediately to the operation theater for incision and drainage under general anesthesia, after which she was started on intravenous antibiotics.Zahar AlkhademLubna LutfiDoha AliAsma Anan MohammedIyad Said HamadiKarger Publishersarticleabscessretropharyngeal abscessdeep neck infectionpediatric infectionMedicineRENDubai Medical Journal, Pp 1-5 (2021)
institution DOAJ
collection DOAJ
language EN
topic abscess
retropharyngeal abscess
deep neck infection
pediatric infection
Medicine
R
spellingShingle abscess
retropharyngeal abscess
deep neck infection
pediatric infection
Medicine
R
Zahar Alkhadem
Lubna Lutfi
Doha Ali
Asma Anan Mohammed
Iyad Said Hamadi
Retropharyngeal Abscess in a Fourteen-Month-Old Child Presenting with Dysphagia and Obstructive Sleep Apnea: A Case Report
description Retropharyngeal abscess is a relatively uncommon midline deep neck space infection that extends from the base of the skull to the posterior mediastinum, situated between the buccopharyngeal and alar fascias. In this case report, we present a 14-month-old previously healthy female patient who had a high-grade fever for 7 days, associated with neck stiffness and restriction of neck movements to the right side. Her parents noticed decreased oral intake associated with dysphagia, muffled quality of voice, and obstructive sleep apnea. However, the patient had no clinical signs of mechanical obstruction on examination. A contrast-enhanced computed tomography scan of the neck showed a large retropharyngeal septated fluid collection measuring 8 × 3 × 6 cm, which was categorized as a large retropharyngeal abscess that was complicated by descending mediastinitis. The patient was taken immediately to the operation theater for incision and drainage under general anesthesia, after which she was started on intravenous antibiotics.
format article
author Zahar Alkhadem
Lubna Lutfi
Doha Ali
Asma Anan Mohammed
Iyad Said Hamadi
author_facet Zahar Alkhadem
Lubna Lutfi
Doha Ali
Asma Anan Mohammed
Iyad Said Hamadi
author_sort Zahar Alkhadem
title Retropharyngeal Abscess in a Fourteen-Month-Old Child Presenting with Dysphagia and Obstructive Sleep Apnea: A Case Report
title_short Retropharyngeal Abscess in a Fourteen-Month-Old Child Presenting with Dysphagia and Obstructive Sleep Apnea: A Case Report
title_full Retropharyngeal Abscess in a Fourteen-Month-Old Child Presenting with Dysphagia and Obstructive Sleep Apnea: A Case Report
title_fullStr Retropharyngeal Abscess in a Fourteen-Month-Old Child Presenting with Dysphagia and Obstructive Sleep Apnea: A Case Report
title_full_unstemmed Retropharyngeal Abscess in a Fourteen-Month-Old Child Presenting with Dysphagia and Obstructive Sleep Apnea: A Case Report
title_sort retropharyngeal abscess in a fourteen-month-old child presenting with dysphagia and obstructive sleep apnea: a case report
publisher Karger Publishers
publishDate 2021
url https://doaj.org/article/7d4101175409422e98dc12b56466c025
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