Kelly Christopher P, Isaacman Daniel J
Department of Pediatrics, Eastern Virginia Medical School, Children's Hospital of The King's Daughter's, Norfolk, Virginia 23505, USA.
J Emerg Med. 2002 Aug;23(2):179-82. doi: 10.1016/s0736-4679(02)00489-4.
The diagnosis of retropharyngeal cellulitis and abscess, although most common in children under 6 years of age, is often misdiagnosed in the newborn or early infancy period. The clinical signs of drooling, neck swelling, dysphagia, and torticollis may be absent or not easily identifiable. The following case report details a 2 1/2-month-old infant who presented with fever and irritability, and was subsequently diagnosed with group B streptococcal retropharyngeal cellulitis. Retropharyngeal cellulitis and abscess should be considered in the differential diagnosis of infants and young children who present with fever and irritability, particularly when lumbar puncture results are normal. This case also serves to highlight a rare manifestation of late-onset group B steptococcal disease.
咽后蜂窝织炎和脓肿的诊断虽然在6岁以下儿童中最为常见，但在新生儿期或婴儿早期常被误诊。流口水、颈部肿胀、吞咽困难和斜颈等临床体征可能不存在或不易识别。以下病例报告详细介绍了一名2个半月大的婴儿，该婴儿出现发热和烦躁，随后被诊断为B族链球菌咽后蜂窝织炎。对于出现发热和烦躁的婴幼儿，尤其是腰椎穿刺结果正常时，在鉴别诊断中应考虑咽后蜂窝织炎和脓肿。本病例还凸显了迟发性B族链球菌病的一种罕见表现。
