Retropharyngeal abscess

Coulthard, Mark and Isaacs, David (1991) Retropharyngeal abscess. Archives of Disease in Childhood, 66 10: 1227-1230. doi:10.1136/adc.66.10.1227

Author Coulthard, Mark
Isaacs, David
Title Retropharyngeal abscess
Journal name Archives of Disease in Childhood   Check publisher's open access policy
ISSN 0003-9888
Publication date 1991-10
Sub-type Article (original research)
DOI 10.1136/adc.66.10.1227
Volume 66
Issue 10
Start page 1227
End page 1230
Total pages 4
Place of publication London, United Kingdom
Publisher B M J Group
Language eng
Abstract Of 31 children with retropharyngeal abscess treated at this hospital between 1954 and 1990, 17 (55%) were 12 months old or less and 10 (32%) less than 6 months. Three of these 10 children were neonates, only one of whom had a predisposing congenital lesion. Fourteen children (45%) had a preceding upper respiratory illness and four (13%) had a prior history of pharyngeal trauma or ingestion of a foreign body. In children less than 1 year old the clinical presentation was usually classical with fever, neck swelling, stridor, and pharyngeal swelling. Significantly fewer children over 1 year had neck swelling and no child over 3 years old had stridor. A lateral radiograph of the neck, when performed, had a sensitivity of 88% in diagnosis. Bacteria isolated included pure growths of Staphylococcus aureus (25%), klebsiella species (13%), group A streptococcus (8%), and a mixture of Gram negative and anaerobic organisms (38%). There were two deaths. In six cases (24%) the abscess recurred necessitating further surgical drainage.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
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Created: Thu, 02 Jun 2011, 10:41:39 EST by Melanie Thomas on behalf of Paediatrics & Child Health - RBWH