Mydam Janardhan, Thiagarajan Prakash
Department of Pediatrics, Glan Clwyd Hospital Bodelwyddan, Rhyl, Denbighshire, LL18 5UJ, UK.
Cases J. 2009 Jul 21;2:6460. doi: 10.4076/1757-1626-2-6460.
We describe the unusual case of a 9-month-old Caucasian girl with a retropharyngeal abscess secondary to a mastoid abscess who presented with torticollis. The retropharyngeal abscess was caused by pus from the mastoid abscess tracking down under the petrous part of the temporal bone to reach the retropharyngeal space via the fossa of Rosenmüller. We believe that this is the first time that this route of infection has been reported. The patient was treated successfully with 7 days of intravenous ceftriaxone and flucloxacillin followed by oral co-amoxiclav for 7 days, followed by physiotherapy.
我们描述了一名9个月大的白种女孩的罕见病例，她因乳突脓肿继发咽后脓肿，并伴有斜颈症状。咽后脓肿是由乳突脓肿的脓液沿着颞骨岩部下方蔓延，经 Rosenmüller 隐窝到达咽后间隙所致。我们认为这是首次报道这种感染途径。患者接受了7天的静脉注射头孢曲松和氟氯西林治疗，随后口服阿莫西林克拉维酸7天，之后进行了物理治疗，治疗成功。
