Ouoba K, Diop E M, Diouf R, Ndiaye I
Service d'Oto-rhino-laryngologie, Centre Hospitalier Universitaire Aristide LE DANTEC, Dakar, Sénégal.
Med Trop (Mars). 1994;54(2):149-51.
From 1983 to 1991, 6 cases of retropharyngeal abscess were treated at the University Hospital Center of Dakar. A retrospective review of these cases showed that most occurred in children between the ages of 3 months and 3 years. All patients were examined late, i.e. with a delay of more than one week between the onset of symptoms and consultation of a specialist. The clinical signs were dysphagia, dyspnea, and, in all but one case, fever. In 5 patients, diagnosis was based on the observation of a mass in the middle section of the posterior wall of the pharynx that led to peroral incision and drainage without general anesthesia. In the remaining patient, whose abscess involved the lower part of the wall, endoscopy was necessary to allow diagnosis and incision under general anesthesia after tracheotomy. In all cases, complete healing was obtained after 10-day single-agent antimicrobial therapy. Practitioners in tropical areas should bear in mind that retropharyngeal abscesses are not uncommon in these regions and that they can cause serious complications (rupture and mediastinal extension).
1983年至1991年期间，达喀尔大学医院中心共治疗了6例咽后脓肿患者。对这些病例进行的回顾性研究表明，大多数患者为3个月至3岁的儿童。所有患者均就诊较晚，即症状出现与专科医生会诊之间的间隔超过一周。临床症状为吞咽困难、呼吸困难，除1例患者外，其余患者均有发热症状。5例患者通过观察咽后壁中段的肿物确诊，在无全身麻醉的情况下经口切开引流。其余1例患者的脓肿累及咽壁下部，需要进行内镜检查以明确诊断，并在气管切开术后在全身麻醉下进行切开。所有病例在接受为期10天的单药抗菌治疗后均完全愈合。热带地区的医生应牢记，咽后脓肿在这些地区并不罕见，且可能导致严重并发症（破裂和纵隔蔓延）。
