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Neck swelling from a retropharyngeal abscess caused by penicillin-resistant Streptococcus pneumoniae: a case report

BACKGROUND: In small children, retropharyngeal abscesses usually occur after upper respiratory tract infections. Unlike in adults, these abscesses are difficult to diagnose in small children, and can rapidly develop into deep neck or mediastinal abscesses. CASE PRESENTATION: A 2-year-old Japanese bo...

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Autores principales: Hyo, Yukiyoshi, Fukushima, Hisaki, Harada, Tamotsu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4045944/
https://www.ncbi.nlm.nih.gov/pubmed/24885483
http://dx.doi.org/10.1186/1756-0500-7-291
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author Hyo, Yukiyoshi
Fukushima, Hisaki
Harada, Tamotsu
author_facet Hyo, Yukiyoshi
Fukushima, Hisaki
Harada, Tamotsu
author_sort Hyo, Yukiyoshi
collection PubMed
description BACKGROUND: In small children, retropharyngeal abscesses usually occur after upper respiratory tract infections. Unlike in adults, these abscesses are difficult to diagnose in small children, and can rapidly develop into deep neck or mediastinal abscesses. CASE PRESENTATION: A 2-year-old Japanese boy recently presented to our department with a chief complaint of neck swelling. Physical examination revealed bilateral tonsillitis and swelling of the left posterior pharyngeal wall. Emergency neck computed tomography angiography showed a contrast-enhanced abscess cavity posterior to the left retropharyngeal space, and a low-density area surrounded by an area without contrast enhancement in the posterior neck. The latter was suspected to be a deep neck infection secondary to a retropharyngeal abscess. After surgery, the patient was diagnosed with a retropharyngeal abscess and concurrent cystic lymphangioma. The lesions improved after intraoral incision and drainage, and administration of antibiotics. CONCLUSION: Lymphangiomas and retropharyngeal abscesses are both known to be more common in children than in adults. However, we found no other reports of concomitant presentation of lymphangioma and retropharyngeal abscess in the literature.
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spelling pubmed-40459442014-06-06 Neck swelling from a retropharyngeal abscess caused by penicillin-resistant Streptococcus pneumoniae: a case report Hyo, Yukiyoshi Fukushima, Hisaki Harada, Tamotsu BMC Res Notes Case Report BACKGROUND: In small children, retropharyngeal abscesses usually occur after upper respiratory tract infections. Unlike in adults, these abscesses are difficult to diagnose in small children, and can rapidly develop into deep neck or mediastinal abscesses. CASE PRESENTATION: A 2-year-old Japanese boy recently presented to our department with a chief complaint of neck swelling. Physical examination revealed bilateral tonsillitis and swelling of the left posterior pharyngeal wall. Emergency neck computed tomography angiography showed a contrast-enhanced abscess cavity posterior to the left retropharyngeal space, and a low-density area surrounded by an area without contrast enhancement in the posterior neck. The latter was suspected to be a deep neck infection secondary to a retropharyngeal abscess. After surgery, the patient was diagnosed with a retropharyngeal abscess and concurrent cystic lymphangioma. The lesions improved after intraoral incision and drainage, and administration of antibiotics. CONCLUSION: Lymphangiomas and retropharyngeal abscesses are both known to be more common in children than in adults. However, we found no other reports of concomitant presentation of lymphangioma and retropharyngeal abscess in the literature. BioMed Central 2014-05-10 /pmc/articles/PMC4045944/ /pubmed/24885483 http://dx.doi.org/10.1186/1756-0500-7-291 Text en Copyright © 2014 Hyo et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
spellingShingle Case Report
Hyo, Yukiyoshi
Fukushima, Hisaki
Harada, Tamotsu
Neck swelling from a retropharyngeal abscess caused by penicillin-resistant Streptococcus pneumoniae: a case report
title Neck swelling from a retropharyngeal abscess caused by penicillin-resistant Streptococcus pneumoniae: a case report
title_full Neck swelling from a retropharyngeal abscess caused by penicillin-resistant Streptococcus pneumoniae: a case report
title_fullStr Neck swelling from a retropharyngeal abscess caused by penicillin-resistant Streptococcus pneumoniae: a case report
title_full_unstemmed Neck swelling from a retropharyngeal abscess caused by penicillin-resistant Streptococcus pneumoniae: a case report
title_short Neck swelling from a retropharyngeal abscess caused by penicillin-resistant Streptococcus pneumoniae: a case report
title_sort neck swelling from a retropharyngeal abscess caused by penicillin-resistant streptococcus pneumoniae: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4045944/
https://www.ncbi.nlm.nih.gov/pubmed/24885483
http://dx.doi.org/10.1186/1756-0500-7-291
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