A 15-Month-Old Boy With Respiratory Distress and Parapharyngeal Abscess: A Case Report
AbstractParapharyngeal abscess is a life-threatening disease. Upper respiratory tract infection is the main cause in children. We present a 15-month-old boy admitted to the emergency ward with the chief complaint of difficulty in breathing caused by parapharyngealabscess. His condition deteriorated gradually, and he transferred to the operation theater quickly for abscess drainage and because of the difficulty in orotracheal intubation; a tracheostomy was performed. His respiratory condition deteriorated 2 days after PICU admission, and the medical team noticed an unexplainable respiratory distress. A chest x ray obtained and showed a right side pneumothorax and subcutaneous emphysema around theneck area. The case presented here, had not been diagnosed at the first examination; however, there were enough clinical clues (such as respiratory distress, drooling, torticollis, bulging of theneck, previous viral respiratory infection, possible pharyngeal trauma). The story of this case reminds us the importance of the precise physical exam and history taking which could be life-saving.
- Muhammad Ishaque, Syed Shaukat Hussain, Abid Mahmood, Acute Parapharyngeal Abscess Secondary to
Streptococcal Mastoiditis, Journal of the College of Physicians and Surgeons Pakistan 2009, Vol. 19 (12): 798-799
-Christophe Ide, Eddy Bodart, Marc Remacle, Be´atrice De Coene, Jean-Franc¸ois Nisolle, and Jean-Paul Trigaux, An Early MR Observation of Carotid Involvement by Retropharyngeal Abscess, AJNR Am J Neuroradiol 19:499 –501, March 1998.
-Ching-Hsiang Lin, Yueng-Shiang Chu, Chien-Feng Liao, Yu-Long Chen, Ko-Chiang Hsu, Penetrating Injury to the Pharynx by Scissors Leading to Retropharyngeal Abscess in a Depressed Man, J Med Sci 2010;30(2):071-073.
- Brito-Mutunayagam S, Y K Chew, K Sivakumar, N Prepageran, Parapharyngeal and Retropharyngeal Abscess: Anatomical Complexity and Etiology, Med J Malaysia Vol 62 No 5 December 2007.
-Mark Coulthard, David Isaacs, Retropharyngeal abscess, Archives ofDisease in Childhood 1991; 66: 1227-1230
-MANUEL GRODINSKY, OMAHA, RETROPHARYNGEAL AND LATERAL PHARYNGEAL ABSCESSES AN ANATOMIC AND CLINICAL STUDY, Annals of Surgery, August, 1939
-A. Brookes, A. Moriarty, Pharyngeal abscess presenting with upper airway obstruction and atlanto-axial subluxation in a small infant, Anaesthesia, 2000, 55, pages 469±474.
-NICHOLAS J. GALIOTO, Peritonsillar Abscess, American Family Physician, Volume 77, Number 2, January 15, 2008 9-Yongdong Wang, Nina Sigh, John Mernagh, Retropharyngeal Abscess: Its Evolution and Imaging Assessment, OMICS J Radiology 2013, 2:5
-Ramaswamy Ganesh, Vazhkudai Sridharan Srividhya, Thiruvengadam Vasanthi, Somu Shivbalan, Kawasaki Disease Mimicking Retropharyngeal Abscess, Yonsei Med J, Volume 51, Number 5, September 2010
-IAN A. JENKINS, MICHAEL SAUNDERS, Infections of the airway, Pediatric Anesthesia 2009 19 (Suppl. 1): 118–130
-Karina J. Kennedy, Sam Prince, Timothy Makeham, Mycoplasma hominis-Associated Parapharyngeal Abscess following Acute Epstein-Barr Virus Infection in a Previously Immunocompetent Adult, JOURNAL OF CLINICAL MICROBIOLOGY, Sept. 2009, p. 3050–3052
-Jeong Hee Shin, Se In Sung, Jin Kyu Kim, Ji Mi Jung, Eun Sun Kim, Soo Han Choi, Yae Jean Kim, Kang Mo Ahn, Yun Sil Chang, Won Soon Park, Retropharyngeal abscess coinfected with Staphylococcus aureus and Mycobacterium tuberculosis after rhinoviral infection in a 1-monthold infant, Korean J Pediatr 2013;56(2):86-89
- Diane E Pappas, J. Owen Hendley, Retropharyngeal Abscess, Lateral Pharyngeal (Parapharyngeal) Abscess, and Peritonsillar Cellulitis/Abscess. In: Robert M. Kliegman, Bonita F. Stanton, Joseph W. St. Geme III, Nina F. Schor, Richard E. Behrman, et al, editors. Nelson Textbook of Pediatrics, 20th Edition. Philadelphia, United States of America: Saunders; 2016: p. 2021-2022