Retropharyngeal abscess, submandibular abscess, and regio colli abscess with bronchopneumonia in a 2.5-month-old boy

Irhamna Yusra, Finny Fitry Yani

Abstract

Deep neck space infections (DNSIs) in pediatric require more intimate management because of their rapidly progressive nature. Delay in diagnosis and treatment may lead to life-threatening complications. Objective: To report DNSIs as one of emergency case in children. Early diagnosis and immediate management can decrease morbidity and mortality rate in children. Case: A case of a 2.5-month-old boy with chief complain breathlessness due to deep neck space infections and bronchopneumonia. Patient was getting better after surgical drainage. Conclusions: It most commonly occurs in children younger than four years of age having medical history of streptococcal pharyngitis, rarely as a complication of recent trauma, odontogenic infection or extension of vertebral osteomyelitis. Management often consists of antimicrobial therapy and surgical drainage. With the cooperation of ENT specialist and pediatrician/pediatric infectious disease specialist. Management in PICU is mandatory due to high risk of complications.

Keywords

retropharyngeal abscess; submandibular abscess; colli; bronchopneumonia

Full Text:

PDF

References

Raghani MJ, Raghani N. Bilateral deep neck space infection in pediatric patients: review of literature and report of a case. J Indian Soc Pedod Prev Dent. 2015; 33(1):61-5. doi: 10.4103/0970-4388.149009. [PubMed]

Katavić M, Štefanović IM, Vrsalović R, Zlatić-Glogoški M, Tešović G, Baudoin T. Retropharyngeal Abscess in a Four Month Old Female Infant-Case Report. International Journal of Pediatrics & Neonatal Care. 2016; 2:121. doi: 10.15344/2455-2364/2016/121.

Shin JH1, Sung SI, Kim JK, Jung JM, Kim ES, Choi SH, et al. Retropharyngeal abscess coinfected with Staphylococcus aureus and Mycobacterium tuberculosis after rhinoviral infection in a 1-month-old infant. Korean J Pediatr. 2013; 56(2):86-9. doi: 10.3345/kjp.2013.56.2.86. [PubMed]

Coticchia JM, Getnick GS, Yun RD, Arnold JE. Age-, site-, and time-specific differences in pediatric deep neck abscesses. Arch Otolaryngol Head Neck Surg. 2014; 130(2):201-7. doi: 10.1001/archotol.130.2.201. [PubMed]

Dolan K, Estrellado W. Retropharyngeal Abscess in a Medically Complex Child Presenting With Respiratory Failure. Chest (Fellow Case Report Poster- Pediatrics). 2016; 150(4S):954A. doi: 10.1016/j.chest.2016.08.1057.

Hui LR, Selamat M, Hamid Z, Abu Bakar AZ, Thomas TH. Retropharyngeal Abscess in Child- Dilemma in Airway Management. Ann Otolaryngol Rhinol. 2016; 3(11):1141. [Abstract/FREE Full-Text].

Cengiz AB, Kara A, Kanra G, Seçmeer G, Ceyhan M, Özen M. Acute neck infections in children. The Turkish Journal of Pediatrics. 2014; 46(2):153-8. [Abstract/FREE Full-Text].

Skoog H, Clark DW. Submandibular neck mass in a newborn. Proc (Bayl Univ Med Cent). 2017; 30(4):461–462. [PMC free article]

Mydam J, Thiagarajan P. A nine month old child with retropharyngeal abscess secondary to mastoid abscess presenting as torticollis: a case report. Cases J. 2009; 2:6460. doi: 10.4076/1757-1626-2-6460. [PMC free article].

Mirza B, Ijaz L, Saleem M, Sharif M, Sheikh A. Cystic hygroma: an overview. J Cutan Aesthet Surg. 2010; 3(3):139-44. doi: 10.4103/0974-2077.74488. [PMC free article].

Smith MM, Heubi CH. Infections of the Neck and Pharynx in Children. Curr Treat Options Peds. 2018; 4:211. doi: 10.1007/s40746-018-0127-y.



-->