Edinsel tortikollisin ender bir nedeni: Retrofaringeal apse
Retrofaringeal apse üst solunum yolu tıkanıklığına yol açabilen derin boyun infeksiyonlarındandır. Çocukluk çağında seyrek görülür ve klinik olarak tanı konulması oldukça güçtür. Ateş, yutma güçlüğü ve özellikle tortikollis veya boyun hareketlerinde kısıtlılık olduğunda retrofaringeal apse düşünülmeli ve radyolojik inceleme acilen yapılmalıdır. Üst solunum yolu infeksiyonu sonrasında gelişen ateş, boyunda şişlik ve boyun hareketlerinde kısıtlılık ile başvuran ve sadece antibiyotik ile tedavi edilen retrofaringeal apse vakası sunulmaktadır.
A rare cause of acquired torticollis: Retropharyngeal abscess
Retropharyngeal abscess is a deep neck infection that can obstruct the upper airway. It is rarely seen in childhood and it is very difficult to diagnose clinically. Fever, dysphagia and, in particular, torticollis or limitation of neck motion should prompt the doctor to consider the diagnosis and obtain radiographic studies immediately. We aim to discuss a case with retropharyngeal abscess after upper respiratory infection. He was presented with fever, neck mass and he was treated only with antibiotic and no complication was occurred.
___
- 1. Schwartz RH. Supraglottic infections. In: Long SS, Pickering LK, Prober CG, eds. Principles and Practice of Pediatric Infectious Diseases. 2th edition. Philadelphia: Churchill Livingstone, 2003; 185-90.
- 2. Roberson DW. Pediatric reiropharyngeal abscesses. Clin Ped Emerg Med 2004; 5: 37-40.
- 3. Craig FW, Schunk JE. Retropharyngeal abscess in children: clinical presentation, utility of imagining, and current management. Pediatrics 2003; 111: 1394-8.
- 4. Daya H, Lo S, Papsin BC, Zachariasova A, Murray H, Pirie J, Retropharyngeal and parapharyngeal infections in children: The Toronto experience. Pediatr Otolarynçol 2005; 69:81-6.
- 5. Brook I. Microbiology and management of peritonsillar, retropharyngeal, and parapharyngeal abscesses. J Oral MaxillofacSurg 2004; 62: 1545-50.
- 6. Tan PT, Chang LY, Huang YC, Chiu CH , Wang CR, Lin TY. Deep neck infections in children. J Microbiol Immunol Infect 2001; 34: 287-92.
- 7. Goldstein NA, Hammerschlag MR. Peritonsillar, retropharyngeal, and parapharyngeal abscesses. In: Feigin RD,Cherry FD, Demmler GJ, Kaplan SL, eds. Textbook of Pediatric Infectious Diseases. 5th" ed. Philadelphia: Saunders, 2004; 178-85.
- 8. Hudgings PA, Dorey JH, Jacobs IN. Internal carotid artery narrowing in children with retropharyngeal lymphadenitis and absess. Am J Neuroradiol 1998; 19: 1841-3.
- 9. Nagy M, Backstorm J. Comparison of the sensitivity of lateral neck radiographs and computed tomography scanning in pediatric deep-neck infections. Laryngoscope 1999: 109: 775-9.
- 10. Lazor JB, Cunningham MJ, Eavey R, Weber AL. Comparison of computed tomography and surgical findings in deep neck infections. Otolarynçol Head Neck Surg 1994; 111: 746-50.
- 11. Hold GR, McManus K, Newman RK, Potter JL, Tinsley PP. Computed tomography in the diagnosis of deep neck infections. Arch Otolaryngol 1982; 108: 693-6.