Retropharyngeal abscess: Difference between revisions
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==Disposition== | ==Disposition== | ||
*Admit | *Admit | ||
==See Also== | |||
#[[PTA]] | |||
#[[Ludwig's Angina]] | |||
#[[Pharyngitis]] | |||
==Source== | ==Source== | ||
Revision as of 04:40, 24 November 2011
Background
- Polymicrobial abscess in space between posterior pharyngeal wall and prevertebral fascia
- Adults: Due to direct extension of purulent debris from adjacent site (e.g. Ludwig angina)
- More likely to extend into the mediastinum
- Children: Due to suppurative changes within a lymph node (primary infection elsewhere in head or neck)
Clinical Features
- Sore throat (76%)
- Fever (65%)
- Torticollis (37%)
- Dysphagia (35%)
- Late symptoms:
- Stridor, respiratory distres, chest pain (mediastinitis)
Diagnosis
- CT neck w/ IV contrast
- Gold standard
Treatment
- Emergent ENT consult
- Most patients require I&D
- Secure airway
- Abx
- Clindamycin 600-900mg IV OR
- Cefoxitin 2gm IV
Disposition
- Admit
See Also
Source
Tintinalli