Retropharyngeal abscess: Difference between revisions
(Created page with "==Background== *Abscess in space between post pharyngeal wall and prevertebral fascia **Due to suppuration of retropharyngeal lymph nodes ***Due to seeding from distant site or d...") |
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==Background== | ==Background== | ||
*Abscess in space between post pharyngeal wall and prevertebral fascia | *Abscess in space between post pharyngeal wall and prevertebral fascia | ||
**Due to suppuration of retropharyngeal lymph nodes | **Due to suppuration of retropharyngeal lymph nodes (regress by age 4yr) | ||
***Due to seeding from distant site or direct trauma (fall w/ object in mouth) | ***Due to seeding from distant site or direct trauma (fall w/ object in mouth) | ||
Revision as of 05:31, 22 June 2011
Background
- Abscess in space between post pharyngeal wall and prevertebral fascia
- Due to suppuration of retropharyngeal lymph nodes (regress by age 4yr)
- Due to seeding from distant site or direct trauma (fall w/ object in mouth)
- Due to suppuration of retropharyngeal lymph nodes (regress by age 4yr)
Diagnosis
- URI followed by neck pain, dysphagia, drooling, neck swelling
- Late symptoms include stridor, respiratory distres, chest pain (mediastinitis)
Work-Up
- Lateral neck xray
- Retropharyngeal space at C2 is 2x diameter of vertebral body
- CT w/ IV contrast
- 100% Sn
Treatment
- Secure airway
- Abx
- Ampicillin/sulbactam or clindamycin
- ENT consult
Disposition
Admit
Source
Tintinalli