Schott Christopher K, Counselman Francis L, Ashe Allison R
Department of Emergency Medicine, Eastern Virginia Medical School, Norfolk, VA 23507, USA.
J Emerg Med. 2013 Feb;44(2):329-31. doi: 10.1016/j.jemermed.2011.09.028. Epub 2012 Jan 30.
We present the case of a 47-year-old man who presented to the Emergency Department (ED) with complaint of left-sided neck pain. He was thought to have a musculoskeletal sprain on his initial visit. However, he returned the following evening with worsening symptoms. On further investigation, he was found to have a non-traumatic retropharyngeal abscess (RPA), a rare infection in the adult patient population.
This infection has been studied primarily in the pediatric population, and extrapolation of their studies demonstrates the importance of airway stabilization, antibiotic use targeting polymicrobial organisms, and conservative medical management vs. surgical drainage. We aim to summarize this case and review the literature on retropharyngeal abscess.
This patient presented to the ED with complaints of left-sided neck pain. There was no history of trauma or injury to the affected area. He was evaluated and discharged but returned with a deteriorating clinical picture. On further evaluation, he was found to have a non-traumatic RPA. He was admitted to the Otolaryngology service and managed conservatively with intravenous (IV) antibiotics. His condition resolved and he was subsequently discharged from the hospital.
The majority of data on diagnosis and treatment of adult RPA have come from the pediatric population. However, the same essential treatment principles apply: airway stabilization, resuscitation, initiation of IV antibiotics, and consultation with an otolaryngology specialist.
我们报告一例47岁男性患者，因左侧颈部疼痛就诊于急诊科。初诊时考虑为肌肉骨骼扭伤。然而，他于次日晚间复诊，症状加重。进一步检查发现，他患有非创伤性咽后脓肿（RPA），这在成年患者群体中是一种罕见的感染。
这种感染主要在儿科人群中进行了研究，对其研究的推断表明了气道稳定、针对多种微生物的抗生素使用以及保守药物治疗与手术引流的重要性。我们旨在总结该病例并回顾关于咽后脓肿的文献。
该患者因左侧颈部疼痛就诊于急诊科。患区无外伤或损伤史。他接受评估后出院，但复诊时临床表现恶化。进一步评估发现他患有非创伤性RPA。他被收入耳鼻喉科，接受静脉注射（IV）抗生素保守治疗。他的病情好转，随后出院。
关于成人RPA诊断和治疗的大多数数据来自儿科人群。然而，同样的基本治疗原则适用：气道稳定、复苏、静脉注射抗生素治疗以及咨询耳鼻喉科专家。
