Department of Otolaryngology. Hospital Universitario Central de Asturias, Oviedo, Spain.
Department of Otolaryngology. Hospital Universitario Central de Asturias, Oviedo, Spain; Instituto de Investigación Sanitaria del Principado de Asturia, IUOPA, Oviedo, Spain.
Int J Pediatr Otorhinolaryngol. 2020 May;132:109904. doi: 10.1016/j.ijporl.2020.109904. Epub 2020 Jan 23.
Varicella infection is one of the most common and contagious infection in children and could course with severe complications. We report the case of a 4-year-old patient derived to our hospital for suspicion of suppurative complication in the context of a varicella infection. A computerized tomographic scanning was performed, showing a large retropharyngeal abscess with mediastinitis. Complications of varicella are up to 2% of patients, but this is the first report of a retropharyngeal and mediastinal abscess in this context. In the face of clinical suspicion, early intervention is important through imaging, intravenous antibiotics and surgical drainage in necessary cases.
水痘感染是儿童中最常见和最具传染性的感染之一，可能会导致严重的并发症。我们报告了一例 4 岁患者的病例，该患者因疑似水痘感染并发化脓性并发症而被转至我院。进行了计算机断层扫描，显示存在大的咽后脓肿伴纵隔炎。水痘的并发症发生率高达 2%，但这是该背景下首例咽后和纵隔脓肿的报告。面对临床怀疑，通过影像学、静脉内抗生素和必要时的手术引流进行早期干预非常重要。
