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Published on: June 28, 2018
Retropharyngeal space infection
Somchai Srirompotong1, Supaporn Srirompotong, Patchareeporn Saeseow
1Department of Otolaryngology, Faculty of Medicine, Khon Kaen University, Thailand. srirompotong@yahoo.com
Abstract:
Retropharyngeal space infections are relatively rare since the widespread use of modern antibiotics. In children, retropharyngeal space infections usually occur following an upper respiratory tract infection, while in adults they are usually caused by trauma, foreign bodies or extension from adjacent spaces. The authors reviewed 12 patients with retropharyngeal space infection between July 1996 and June 2002. Age, sex, duration of symptoms and hospitalization time, clinical presentation, etiology, underlying disease, bacteriology, treatment and complications were analyzed. Widening of the prevertebral soft tissue as seen on a plain film of the lateral neck was the most important diagnostic tool. Fever was the most common symptom (91.6%) and showed a high prevalence in adult populations (66.6%). Half of the cases were caused by ingestion of a foreign body. Nine cases underwent surgical drainage which was positive in eight cases (88.8%). Staph. aureus, K. pneumoniae and Enterobacter species were the predominant pathogens. Early diagnosis and appropriate use of antibiotics lessened morbidity. Only two cases had postoperative complications and both recovered.
Insights
Retropharyngeal space infections, though rare, often stem from foreign bodies in adults. Prompt diagnosis and antibiotic treatment are crucial for reducing complications and improving patient outcomes.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Radiology
Background:
- Retropharyngeal space infections are uncommon due to widespread antibiotic use.
- In children, infections typically follow upper respiratory infections; in adults, causes include trauma, foreign bodies, or adjacent spread.
Purpose of the Study:
- To analyze clinical features, etiology, and management of retropharyngeal space infections.
- To evaluate diagnostic methods and treatment outcomes in a patient cohort.
Main Methods:
- Retrospective review of 12 patients with retropharyngeal space infection (July 1996 - June 2002).
- Analysis of patient demographics, symptoms, etiology, bacteriology, diagnostic imaging, treatment, and complications.
- Lateral neck X-rays were assessed for prevertebral soft tissue widening.
Main Results:
- Widening of prevertebral soft tissue on lateral neck X-ray was the key diagnostic finding.
- Fever was the most common symptom (91.6%), prevalent in adults (66.6%).
- Foreign body ingestion caused half of the cases; surgical drainage was effective in 88.8% of nine procedures. Predominant pathogens included Staph. aureus, K. pneumoniae, and Enterobacter species.
Conclusions:
- Early diagnosis and appropriate antibiotic therapy significantly reduce morbidity.
- Surgical intervention, when indicated, is highly effective.
- Prompt management leads to favorable outcomes with minimal complications.
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