Parapharyngeal space infection: Difference between revisions
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Revision as of 06:41, 1 November 2015
Background
- The parapharyngeal space is one of three potential spaces that can cause deep neck space infections
- retrophanygeal space
- submandibular space
- parapharyngeal space
- Infections arise from foci in the mandibular teeth, tonsils, parotid gland, deep cervical lymph nodes, middle ear, or sinuses.
- Polymicrobial
Clinical Features
- Sore Throat
- Trismus
- Swelling below angle of mandible
- Lymphadenopathy
- Poor handling of oral secretions
- Asymetric pharyngeal swelling
- Fevers/chills
Differential Diagnosis
- Pharyngitis
- Ludwig's Angina
- Parotitis
- Tonsillitis
- Lemierre's syndrome
Diagnosis
- CT neck soft tissues with IV contrast
- MRI neck
Management
- ABC's
- ENT Consult for potential surgical drainage
- Antibiotics (amp-sulbactam, clindamycin, penicillin plus metronidazole)
- Analgesia
Disposition
- Admit to ICU