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一名5岁儿童患有颈部深部脓肿并伴有喉梗阻。

A 5-Year-Old Child with a Deep Neck Abscess Complicated by Laryngeal Obstruction.

作者信息

Di Ludovico Armando, Raso Massimiliano, Di Filippo Paola, Di Pillo Sabrina, Zappacosta Roberta, Parruti Giustino, Zingariello Pasquale, Chiarelli Francesco, Attanasi Marina

机构信息

Department of Pediatrics, University of Chieti, 66100 Chieti, Italy.

Department of Pathology, University of Chieti, 66100 Chieti, Italy.

出版信息

Children (Basel). 2022 Dec 22;10(1):17. doi: 10.3390/children10010017.

Abstract

Deep neck space infections (DNSI) are defined as infections in the potential spaces and fascial planes of the neck. We show the clinical case of a retro and para-pharyngeal abscess in a healthy 5-year-old child complicated by compression and dislocation of the larynx with marked airway caliber reduction and potentially fatal extension up to the mediastinal aditus. DNSI can occur at any age and, due to its rapid progression, requires immediate treatment in children. In healthy children, concurrent abscesses in separate neck spaces are rare. DNSI recurrence should alert the physician to the possibility of a congenital problem, and if imaging fails, laryngoscopy may be the best diagnostic technique.

摘要

深部颈部间隙感染(DNSI)被定义为颈部潜在间隙和筋膜平面的感染。我们展示了一名健康5岁儿童发生咽后和咽旁脓肿的临床病例,该病例并发喉部受压和脱位,气道管径明显减小,并且可能致命地蔓延至纵隔入口。DNSI可发生于任何年龄,由于其进展迅速,在儿童中需要立即治疗。在健康儿童中,不同颈部间隙同时发生脓肿的情况很少见。DNSI复发应提醒医生注意先天性问题的可能性,如果影像学检查未能确诊,喉镜检查可能是最佳诊断技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14d0/9856470/468b9f626ea2/children-10-00017-g001.jpg

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