Zafereo Mark E, Pereira Kevin D
Department of Otolaryngology Head and Neck Surgery, University of Texas Houston Health Science Center, Houston, TX, USA.
Pediatr Emerg Care. 2008 Jun;24(6):382-4. doi: 10.1097/PEC.0b013e318177a6d9.
Chronic retropharyngeal abscess (RPA) in children is an unusual condition that has rarely been reported in the literature. Pediatric obstructive sleep apnea (OSA) has many etiologies that have been well described, but there have been no reports of a chronic RPA presenting with severe OSA. We describe an infant who presented with severe OSA due to oropharyngeal narrowing by a chronic abscess. An intraoperative magnetic resonance imaging study confirmed the presence of a RPA. Treatment included tracheostomy, surgical drainage, and intravenous followed by oral antibiotics. Physicians evaluating children with recent onset severe OSA after a respiratory infection should include suppurative oropharyngeal pathology in the differential diagnosis. A recent drainage of a head or neck abscess should strengthen that suspicion.
儿童慢性咽后脓肿（RPA）是一种罕见疾病，在文献中鲜有报道。小儿阻塞性睡眠呼吸暂停（OSA）有多种病因，已被充分描述，但尚无慢性RPA伴发严重OSA的报道。我们描述了一名因慢性脓肿导致口咽狭窄而出现严重OSA的婴儿。术中磁共振成像研究证实存在RPA。治疗包括气管切开术、手术引流、静脉注射随后口服抗生素。评估近期呼吸道感染后新发严重OSA患儿的医生，在鉴别诊断中应考虑化脓性口咽病变。近期有头颈部脓肿引流史应增强这种怀疑。
