Retropharyngeal

Retropharyngealabszesse are most common in young children and can cause sore throat, fever, stiff neck and stridor. The diagnosis can be made based on the clinical picture, but usually an ultrasound or CT scan is required. The treatment consists of an abscess drainage under general anesthetic and antibiotic therapy. Sometimes must be done about the procedure, a endotracheal intubation.

Retropharyngealabszesse develop on the back of the pharynx in retropharyngeal lymph nodes that are located near the vertebrae. they are caused by a pathogen dissemination of sources of infection in the throat, sinuses, adenoids or nose. Since the retropharyngeal lymph nodes with 4-5 years begin to regress, such abscesses occur mainly in children of 1-8 years. But over ingested foreign body or inspection instruments, adults can infect. Common pathogens are aerobic (Streptococcus and Staphylococcus sp.) And anaerobic bacteria (Bacteroides and Fusobacterium), but increasingly also HIV and tuberculosis bacilli – in adults and children.

Retropharyngealabszesse are most common in young children and can cause sore throat, fever, stiff neck and stridor. The diagnosis can be made based on the clinical picture, but usually an ultrasound or CT scan is required. The treatment consists of an abscess drainage under general anesthetic and antibiotic therapy. Sometimes must be done about the procedure, a endotracheal intubation. Retropharyngealabszesse develop on the back of the pharynx in retropharyngeal lymph nodes that are located near the vertebrae. they are caused by a pathogen dissemination of sources of infection in the throat, sinuses, adenoids or nose. Since the retropharyngeal lymph nodes with 4-5 years begin to regress, such abscesses occur mainly in children of 1-8 years. But over ingested foreign body or inspection instruments, adults can infect. Common pathogens are aerobic (Streptococcus and Staphylococcus sp.) And anaerobic bacteria (Bacteroides and Fusobacterium), but increasingly also HIV and tuberculosis bacilli – in adults and children. Among the most serious consequences include airway obstruction, septic shock, aspiration pneumonia or asphyxia after a Abszessentleerung airways, mediastinitis, Karotisruptur and suppurative thrombophlebitis of the internal jugular vein (Lemierre’s syndrome). Symptoms and ailments in children is the abscess usually an acute upper respiratory infection predicted in adults, the ingestion of a foreign body or an instrumental examination. Children may have symptoms such as dysphagia and pain on swallowing, fever, cervical lymphadenopathy, stiff neck, wheezing, dyspnea, snoring or noisy breathing and a stiff neck. Adults often have strong neck pain, but rarely an inspiratory stridor. The posterior pharyngeal wall can be bulged to one side. Diagnostic CT The diagnosis results from strong, unexplained sore throat and stiff neck, wheezing or noisy breathing. Lateral radiographs of the neck – the maximum in the hyperextension position and inspiration – may show focally prävertebrales loosened connective tissue, a suspension of normal Halswirbelsäulenlordose, air in the prevertebral connective tissue, or an erosion of the adjacent vertebral body. The differential diagnosis may help clarify findings in question to differentiate between infection and abscess and to assess the Abszessausdehnung a CT scan. Retropharyngeal figure provided by Clarence T. Sasaki, M.D. var model = {thumbnailUrl: ‘/-/media/manual/professional/images/retropharyngeal_abscess_high_de.jpg?la=de&thn=0&mw=350’ imageUrl: ‘/-/media/manual/professional/images/retropharyngeal_abscess_high_de.jpg?la = en & thn = 0 ‘, title:’ retropharyngeal ‘description:’ u003Ca id = “v37894004 ” class = “”anchor “” u003e u003c / a u003e u003cdiv class = “”para “” u003e u003cp u003eDiese lateral radiograph of a child shows a pronounced swelling ventral cervical vertebrae due to a Retropharyngealabszesses u003c / p u003e u003c / div u003e ‘credits’. Figure provided by Clarence T. Sasaki

Health Life Media Team

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