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A case of neonatal stridor
1Department of ENT, Alice Ho Miu Ling Nethersole Hospital, Hong Kong.
Archives of Disease in Childhood. Fetal and Neonatal Edition
|October 23, 2002
Summary
A neonate developed a retropharyngeal abscess causing stridor. Group B Streptococcus, identified in the abscess and maternal tract, was the causative agent.
Area of Science:
- Neonatal Medicine
- Pediatric Infectious Diseases
- Otolaryngology
Background:
- Retropharyngeal abscesses are rare but serious infections in neonates.
- Stridor in newborns necessitates prompt diagnosis and management.
Observation:
- A neonate presented with progressive stridor from birth.
- Physical examination revealed signs consistent with airway compromise.
Findings:
- Imaging and clinical assessment confirmed a retropharyngeal abscess.
- Cultures from the abscess yielded Group B Streptococcus (GBS).
- GBS was also isolated from the maternal birth tract.
Implications:
- This case highlights GBS as a potential cause of neonatal retropharyngeal abscess.
- Early recognition and treatment are crucial for favorable outcomes in neonates with airway obstruction.
- Maternal screening and intrapartum antibiotic prophylaxis may be considered in GBS-positive pregnancies.