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An unusual cause of stridor-a case report

R S Mudhol1, A S Harugop, P Abraham

  • 1Dept. of ENT & Head and Neck Surgery, J.N. Medical College, 590 010 Belgaum.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|November 3, 2012
PubMed

Insights

A rare cause of pediatric stridor, a large thoracic abscess, can be life-threatening. This case highlights the need for prompt diagnosis and treatment of prevertebral abscesses presenting with stridor.

Area of Science:

  • Pediatric Pulmonology
  • Thoracic Surgery
  • Emergency Medicine

Background:

  • Stridor in children typically presents with acute onset.
  • Common causes include infections (laryngitis, laryngotracheobronchitis, epiglottitis) and foreign bodies.
  • Less common causes require careful consideration in differential diagnosis.

Purpose of the Study:

  • To report a rare case of pediatric stridor caused by a large upper thoracic pre and paravertebral abscess.
  • To emphasize the critical nature of this presentation.
  • To highlight the importance of considering uncommon etiologies in stridor management.

Main Methods:

  • Case report presentation.
  • Clinical examination findings.
  • Diagnostic imaging (e.g., CT scan) to delineate the abscess.
  • Surgical intervention and management.

Main Results:

  • A large upper thoracic pre and paravertebral abscess was identified as the cause of stridor.
  • The condition was deemed life-threatening.
  • Prompt and urgent treatment was initiated.

Conclusions:

  • Thoracic pre and paravertebral abscesses are a rare but critical cause of pediatric stridor.
  • Early recognition and aggressive management are essential for favorable outcomes.
  • Differential diagnosis for pediatric stridor should include this potentially fatal condition.

Keywords:
Pre and para vertebral abscessStridor

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