Retropharyngeal abscess (throat abscess)


Description

The retropharyngeal space is behind the throat and in front of the spine. This space can become infected and develop a collection of pus, an abscess. The infection can close off the airway and result in death if untreated. The area becomes infected either by direct spread of an infection from the overlying throat or from the space being injured secondary to trauma.

Symptoms

Recent sore throat, infected sinuses or teeth, high fever, severe throat pain, difficulty swallowing, drooling, breathing difficulty, strider (a high-pitched sound when inhaling), stiff neck.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. A CT scan is done to establish the diagnosis.

Tests:
Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, X-ray

Specialists:
Ear, Nose, and Throat (ENT), Pediatric ENT (Otolaryngology)

Treatment

Surgery is needed to drain the infected area, and intravenous antibiotics are administered A breathing tube may be inserted into the trachea to protect the airway.
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