Abstract
Secondary to pharyngeal trauma such as endotracheal intubation, endoscopy and after foreign body ingestion, or removal may develop retropharyngeal cellulitis in adults. These infections occur mainly in children between 1 to 8 years of age with 75% of cases occurring before the age of 5 years. Retropharyngeal cellulitis is a serious deep space infection which can extend from neck to the mediastinum. Herein, we represent a case of 24-year-old female patient who presented with neck pain, odynophagia, and malaise two months after accidental ingestion of a little pin. Uncomplicated removal of this pin was followed by development of retropharyngeal cellulitis and cervical spondylodiscitis. The patient was successfully treated with intravenous and oral antibiotics for 12 weeks without need to surgical intervention. We believe that early and aggressive medical treatment can eradicate nonsuppurative complicated retropharyngeal infection without the need for surgery. J Microbiol Infect Dis 2015;5(4): 180-183
Key words: Pharyngeal trauma, cervical spondylodiscitis, cellulitis
Keywords
References
- Wang LF, Kuo WR, Tsai SM, Huang KJ. Characterizations of life-threatening deep cervical space infections: a review of one hundred ninety-six cases. Am J Otolaryngol 2003;24:111-117.
- Titlic M, Josipovic-Jelic Z. Spondylodiscitis. Bratisl Lek Listy
- ;109:345-347.
- Chow AW. Infection of the oral cavity, neck and head. In: Mandell
- GL, Bennett JE, Dolin R. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Disease. 7th edition. Churchill Livingstone, 2010, P: 863-864.
- Ben-Ami T, Yousefzadeh DK, Aramburo MJ. Pre-suppurative
- phase of retropharyngeal infection: contribution of ultrasonography
- in the diagnosis and treatment. Pediatr Radiol 1990;21:23-26.
- Gupta A, Kawade R, Gupta V. Traumatic retropharyngeal abscess
- presenting with quadriparesis: a case report. Indian J Otolaryngol Head Neck Surg 2000;52:264-266.
- Curry JM, Cognetti DM, Harrop J, et al. Cervical discitis and epidural abscess after tonsillectomy. Laryngoscope 2007;117:2093-2096.
- Muzii VF, Mariottini A, Zalaffi A, et al. Cervical spine epidural
- abscess: experience with microsurgical treatment in eight cases. J Neurosurg Spine. 2006;5:392-397.
- Hull MW, Chow AW. An Approach to Oral Infections and Their
- Management. Curr Infect Dis Rep 2005;7:17-27.
- Capelo J, Carragoso A, Albuquerque C, et al. Infectious spondylodiscitis: a study of forty-one cases. Acta Reumatol Port
- ;32:255-262.
- Bird PA, Shnier R, Edmonds JP. Questioning the sensitivity of
- magnetic resonance imaging in early septic spondylodiscitis. J Clin Rheumatol 2001;7:184-187.
- Ridder GJ, Technau-Ihling K, Sander A, Boedeker CC. Spectrum
- and management of deep neck space infections: an 8-year xperience of 234 cases. Otolaryngol Head Neck Surg 2005;133:709-714.
Abstract
-
Keywords
References
- Wang LF, Kuo WR, Tsai SM, Huang KJ. Characterizations of life-threatening deep cervical space infections: a review of one hundred ninety-six cases. Am J Otolaryngol 2003;24:111-117.
- Titlic M, Josipovic-Jelic Z. Spondylodiscitis. Bratisl Lek Listy
- ;109:345-347.
- Chow AW. Infection of the oral cavity, neck and head. In: Mandell
- GL, Bennett JE, Dolin R. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Disease. 7th edition. Churchill Livingstone, 2010, P: 863-864.
- Ben-Ami T, Yousefzadeh DK, Aramburo MJ. Pre-suppurative
- phase of retropharyngeal infection: contribution of ultrasonography
- in the diagnosis and treatment. Pediatr Radiol 1990;21:23-26.
- Gupta A, Kawade R, Gupta V. Traumatic retropharyngeal abscess
- presenting with quadriparesis: a case report. Indian J Otolaryngol Head Neck Surg 2000;52:264-266.
- Curry JM, Cognetti DM, Harrop J, et al. Cervical discitis and epidural abscess after tonsillectomy. Laryngoscope 2007;117:2093-2096.
- Muzii VF, Mariottini A, Zalaffi A, et al. Cervical spine epidural
- abscess: experience with microsurgical treatment in eight cases. J Neurosurg Spine. 2006;5:392-397.
- Hull MW, Chow AW. An Approach to Oral Infections and Their
- Management. Curr Infect Dis Rep 2005;7:17-27.
- Capelo J, Carragoso A, Albuquerque C, et al. Infectious spondylodiscitis: a study of forty-one cases. Acta Reumatol Port
- ;32:255-262.
- Bird PA, Shnier R, Edmonds JP. Questioning the sensitivity of
- magnetic resonance imaging in early septic spondylodiscitis. J Clin Rheumatol 2001;7:184-187.
- Ridder GJ, Technau-Ihling K, Sander A, Boedeker CC. Spectrum
- and management of deep neck space infections: an 8-year xperience of 234 cases. Otolaryngol Head Neck Surg 2005;133:709-714.
Details
| Primary Language | English |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | February 6, 2016 |
| Published in Issue | Year 2015 Volume: 5 Issue: 4 |