Choong C S, Liew K L, Huang Y F, Chiu P C, Hsieh K S
Department of Pediatrics, Jen-Ai General Hospital, Pingtung, Taiwan, R.O.C.
Zhonghua Yi Xue Za Zhi (Taipei). 1997 Jul;60(1):62-5.
Group A streptococcal (GAS) septicemia is rare in occurrence but has a significant morbidity and mortality, whereas retropharyngeal abscess (RPA) is infrequent and it is most commonly found in children under the age of 6 years, with half of the cases occurring in children between 6 and 12 months old. This report concerns a case of GAS septicemia complicated with RPA. The patient, a five-year-old boy, was referred from a local medical department under the impression of meningitis. However, blood and throat cultures were both found to be positive for group A streptococci. Widening of the retropharyngeal space was noted in lateral neck roentgenography. RPA was confirmed by computed tomography (CT) of the neck. Ampicillin was prescribed for a period of four weeks. The patient was then discharged and oral form ampicillin was continued for four more weeks. No surgical incision and drainage was performed. Complete disappearance of the abscesses were noted via CT of the neck at an Outpatient Department follow-up.
A组链球菌（GAS）败血症虽发病率低，但具有显著的发病率和死亡率，而咽后脓肿（RPA）并不常见，最常见于6岁以下儿童，其中半数病例发生在6至12个月大的儿童中。本报告涉及一例GAS败血症合并RPA的病例。该患者为一名5岁男孩，因脑膜炎被当地医疗机构转诊。然而，血液和咽喉培养均发现A组链球菌呈阳性。颈部侧位X线片显示咽后间隙增宽。颈部计算机断层扫描（CT）证实为RPA。给予氨苄西林治疗四周。随后患者出院，并继续口服氨苄西林四周。未进行手术切开引流。门诊随访时通过颈部CT检查发现脓肿完全消失。
