Haben C M, Campisi P, Sweet R
Montreal Children's Hospital/McGill University Health Center, Department of Otolaryngology, 5551 Chemin Queen Mary, ste. 3, Quebec, H3X 1W1, Montreal, Canada.
Int J Pediatr Otorhinolaryngol. 2001 Mar;57(3):255-8. doi: 10.1016/s0165-5876(00)00459-6.
Deep neck infections are not unusual in either the pediatric or adult populations. Multiple, and recurrent abscesses are found not infrequently, especially in immunocompromised and debilitated persons. It is very rare to find sequential parapharyngeal abscesses without identifiable etiology in an otherwise healthy pediatric patient while receiving appropriate, culture-directed, intravenous antibiotics. This could be due to underestimation of the extent of the infection by CT scanning. The use of intravenous clindamycin as a first-line therapy may not be sufficient if a large phlegmon exists. We describe a case of sequential, bilateral parapharyngeal abscesses in a 3-year-old patient.
颈部深部感染在儿童和成人中都不少见。多发性和复发性脓肿并不罕见，尤其是在免疫功能低下和身体虚弱的人群中。在一名原本健康的儿科患者接受适当的、根据培养结果指导的静脉抗生素治疗时，很少会发现没有明确病因的连续性咽旁脓肿。这可能是由于CT扫描对感染范围的低估。如果存在大面积蜂窝织炎，使用静脉克林霉素作为一线治疗可能并不充分。我们描述了一例3岁患者连续性双侧咽旁脓肿的病例。
