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Retropharyngeal abscess in the adult
Abstract:
Retropharyngeal and prevertebral abscesses, although uncommon, present a perplexing diagnostic and therapeutic problem. In the adult, the disease is less common than in the child, but its etiology may be more diverse. Four cases of retropharyngeal or prevertebral abscesses in the adult are presented, resulting from (1) endotracheal intubation trauma, (2) esophageal perforation, (3) tuberculosis of the cervical spine, and (4) coccidioidomycosis. The pathophysiologic conditions and pertinent anatomy are discussed in relation to the medical and surgical approach to these lesions.
Insights
Retropharyngeal and prevertebral abscesses are rare but complex conditions in adults. Diverse causes include trauma, perforation, tuberculosis, and fungal infections, requiring tailored medical and surgical management.
Area of Science:
- Medicine
- Infectious Diseases
- Otolaryngology
Background:
- Retropharyngeal and prevertebral abscesses are uncommon infections.
- These abscesses pose diagnostic and therapeutic challenges, particularly in adults.
- Etiologies in adults are more varied than in children.
Purpose of the Study:
- To present four distinct cases of adult retropharyngeal or prevertebral abscesses.
- To discuss the diverse etiologies and clinical presentations.
- To review the relevant anatomy and pathophysiology for effective management.
Main Methods:
- Case series presentation.
- Review of patient medical records.
- Discussion of pathophysiologic conditions and anatomical considerations.
Main Results:
- Four adult cases were identified with unique causes: endotracheal intubation trauma, esophageal perforation, cervical spine tuberculosis, and coccidioidomycosis.
- Each case highlights a different etiological pathway and anatomical involvement.
- The study emphasizes the varied origins of these deep neck infections.
Conclusions:
- Adult retropharyngeal and prevertebral abscesses have diverse etiologies.
- Accurate diagnosis and prompt, appropriate medical and surgical intervention are crucial.
- Understanding the underlying pathophysiology and relevant anatomy guides treatment strategies.