Rajanna Lohith, Raina Sheetal, Bayad Himanshu Chhagan, Tripathi Shailendra, Chahar Omvir Singh, Singh Ombir
Department of ENT, Head and Neck Surgery, Command Hospital Central Command, Cariappa Road, Lucknow, Uttar Pradesh 226002 India.
Indian J Otolaryngol Head Neck Surg. 2023 Dec;75(4):4066-4070. doi: 10.1007/s12070-023-04043-2. Epub 2023 Jul 11.
Retropharyngeal abscess (RPA) is a rare, potentially fatal condition found more frequently in young children usually who were having a history of Upper respiratory infection. RPA is an acute suppurative infection of the retropharyngeal space. In view of scarce literature availability and atypical presentation in infants, it poses a definitive diagnostic dilemma to the clinicians. Here, we are reporting a three-month-old male infant presented with feeding difficulty, obstructive sleep apnea and intermittent inspiratory stridor. Child was managed in a pediatric ICU with a multidisciplinary approach which involved pediatrician, otorhinolaryngologist pediatric anesthesiologist, microbiologist, and radiologist. With the recent advances, early radio imaging have a vital role in diagnosing the condition and also helps in planning of surgery. Prompt diagnosis and surgical management with appropriate antimicrobial therapy for this condition is imperative to prevent complications such as airway obstruction and mediastinitis. Timely surgical intervention, preferably intraoral transpharyngeal approach, to drain the abscess is recommended.
咽后脓肿（RPA）是一种罕见的、可能致命的疾病，多见于有上呼吸道感染病史的幼儿。RPA是咽后间隙的急性化脓性感染。鉴于相关文献稀缺且婴儿表现不典型，这给临床医生带来了明确的诊断难题。在此，我们报告一名3个月大的男婴，出现喂养困难、阻塞性睡眠呼吸暂停和间歇性吸气性喘鸣。该患儿在儿科重症监护病房接受多学科治疗，涉及儿科医生、耳鼻喉科医生、儿科麻醉医生、微生物学家和放射科医生。随着最近的进展，早期影像学检查在诊断该病中起着至关重要的作用，也有助于手术规划。对于这种疾病，及时诊断并采用适当的抗菌治疗进行手术管理对于预防诸如气道阻塞和纵隔炎等并发症至关重要。建议及时进行手术干预，最好采用经口经咽入路引流脓肿。
