Retropharyngeal abscess in a neonate: A case report and literature review

We report a rare neonatal case of retropharyngeal abscess (RPA). A 4-day-old neonate was seen for stridor without fever. CT and MRI examinations detected an RPA together with the air-bubble sign. Surgical drainage of the abscess yielded copious pus. He was treated with antibiotics after surgery and...

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Bibliographic Details
Published in:International journal of pediatric otorhinolaryngology extra 2012-09, Vol.7 (3), p.115-118
Main Authors: Kanazawa, Yuji, Asai, Masatsugu, Adachi, Yuichi, Yoshida, Taketoshi, Itazawa, Toshiko, Shimao, Ayako, Inomata, Tomomi, Abe, Hideki, Watanabe, Yukio
Format: Article
Language:English
Subjects:
Barium swallowing examination
Neonate
Pyriform sinus fistula
Retropharyngeal abscess
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Summary:We report a rare neonatal case of retropharyngeal abscess (RPA). A 4-day-old neonate was seen for stridor without fever. CT and MRI examinations detected an RPA together with the air-bubble sign. Surgical drainage of the abscess yielded copious pus. He was treated with antibiotics after surgery and made an uneventful recovery. Respiratory symptoms develop more easily than fever in neonatal RPA. According to previous reports, air-bubble findings and a mass localized on the left side tend to be found during radiological examinations. These radiological features are common in neonates with pyriform sinus fistulae, which can cause RPA.
ISSN:1871-4048
1871-4048
DOI:10.1016/j.pedex.2012.03.003