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Cervical trauma in children: Be aware of the risk of infection

C Nguyen Son1, K Belhous2, W Curtis1

  • 1Departement of Pediatric Emergency, Hôpital Necker-Enfants Malades, Assistance publique-hôpitaux de Paris, 149, rue de Sèvres, 75743 Paris cedex 15, France.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|July 9, 2019
PubMed

Insights

Neck abscesses are rare after cervical trauma in children, often stemming from infections. This case highlights a sternocleidomastoid and retropharyngeal abscess following minor neck trauma, emphasizing management and treatment challenges in pediatric patients.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Infectious Diseases

Background:

  • Cervical abscesses typically arise from otolaryngological infections.
  • Neck trauma can rarely lead to cervical abscess formation, particularly in children.
  • Rapid progression to severe complications or mortality is a risk.

Observation:

  • A pediatric patient developed sternocleidomastoid and retropharyngeal abscesses post-minor cervical trauma.
  • Initial surgical treatment and antibiotics were followed by infection recurrence.
  • Superinfection of a post-traumatic hematoma was suspected.

Findings:

  • Cervical abscesses post-trauma require careful management and monitoring.
  • Recurrence of infection is a significant concern.
  • Effective treatment strategies for pediatric cervical abscesses are crucial.

Implications:

  • This case underscores the importance of considering cervical abscesses after even minor neck trauma in children.
  • Prompt diagnosis and appropriate surgical and antibiotic management are vital.
  • Further research into pediatric cervical abscess treatment protocols is warranted.

Keywords:
Cervical trauma complicationChildrenRetropharyngeal abscess

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