Limits...
Retropharyngeal abscess

Carson WKC - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Retropharyngeal abscess

History: Four year old boy with 4 day history of sore throat, worse in the last 24 hours. Difficulty swallowing, poor appetite. Parents noticed the patient slobbering for the past several hours prior to ED admission.

Findings: Markedly prominent prevertebral soft tissues on c-spine lateral view.

Ddx: C-Spine trauma (if history correlates) Mucosal space mass- neoplastic (SCC, NPC, Lymphoma) Parapharyngeal mass- lipoma, abcess, neoplastic Retropharyngeal mass- abcess, lymphoma, nodal mets Prevertebral mass- abcess, osteomyelitis, chordoma

Dxhow: ENT surgical visualization and drainage.

Exam: Physical exam- markedly erythematous posterior pharynx with pustules, shotty posterior cervical adenopathy. Labs- WBC= 20.5 K ENT Surgical drainage demonstrated retrophargyeal abcess. Throat culture subsequently revealed 4+ Group A Beta Hemmolytic Strep.

No MeSH data available.


Conventional Lateral Radiograph:  Lateral Cervical Spine shows wide soft-tissue space anterior to spine and significant straightening with loss of normal cervical lordosis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=MPX1440&req=5

MPX1440_synpic22999: Conventional Lateral Radiograph: Lateral Cervical Spine shows wide soft-tissue space anterior to spine and significant straightening with loss of normal cervical lordosis.


Retropharyngeal abscess

Carson WKC - MedPix

Conventional Lateral Radiograph:  Lateral Cervical Spine shows wide soft-tissue space anterior to spine and significant straightening with loss of normal cervical lordosis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1440&req=5

MPX1440_synpic22999: Conventional Lateral Radiograph: Lateral Cervical Spine shows wide soft-tissue space anterior to spine and significant straightening with loss of normal cervical lordosis.

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Retropharyngeal abscess

History: Four year old boy with 4 day history of sore throat, worse in the last 24 hours. Difficulty swallowing, poor appetite. Parents noticed the patient slobbering for the past several hours prior to ED admission.

Findings: Markedly prominent prevertebral soft tissues on c-spine lateral view.

Ddx: C-Spine trauma (if history correlates) Mucosal space mass- neoplastic (SCC, NPC, Lymphoma) Parapharyngeal mass- lipoma, abcess, neoplastic Retropharyngeal mass- abcess, lymphoma, nodal mets Prevertebral mass- abcess, osteomyelitis, chordoma

Dxhow: ENT surgical visualization and drainage.

Exam: Physical exam- markedly erythematous posterior pharynx with pustules, shotty posterior cervical adenopathy. Labs- WBC= 20.5 K ENT Surgical drainage demonstrated retrophargyeal abcess. Throat culture subsequently revealed 4+ Group A Beta Hemmolytic Strep.

No MeSH data available.