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Life-threatening parapharyngeal and retropharyngeal abscess in an infant

Anusha Balasubramanian1,2, J Redzwan Shah1, Norzi Gazali2

  • 1Department of Otorhinolaryngology, Hospital Raja Permaisuri Bainun, Ipoh, Perak, Malaysia.

BMJ Case Reports
|October 11, 2017
PubMed

Insights

A rare deep neck abscess in an infant was successfully treated with endoscopic intraoral drainage. This minimally invasive approach avoided complications and allowed for rapid recovery, highlighting its efficacy in pediatric cases.

Area of Science:

  • Pediatric Surgery
  • Otolaryngology
  • Infectious Diseases

Background:

  • Deep neck abscesses are uncommon in infants.
  • Early diagnosis and intervention are crucial for favorable outcomes.

Observation:

  • A 4-month-old infant presented with fever, lethargy, and neck swelling.
  • Contrast-enhanced CT revealed a large parapharyngeal and retropharyngeal abscess (5.3x8 cm) causing airway narrowing.

Findings:

  • Endoscopic intraoral incision and drainage successfully removed 40 mL of pus.
  • The infant was extubated within 48 hours and completed a 1-week course of intravenous antibiotics.

Implications:

  • Endoscopic intraoral drainage is a safe and effective minimally invasive option for pediatric deep neck abscesses.
  • This approach can avert complications associated with external surgical methods.
  • Prompt management leads to rapid recovery and good long-term outcomes.

Keywords:
ear, nose and throat/otolaryngologyotolaryngology / entpaediatric intensive carepaediatric surgery

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