Presentation
Fever and torticollis.
Patient Data
Well-defined retropharyngeal fluid collection, with peripheral enhancement extending from the base of the skull down to the upper border of the manibrium sternum.
No mediastinal extension.
Multiple enlarged cervical lymph nodes.
Mass effect on the upper airway.
Case Discussion
Retropharyngeal abscesses are a serious condition often seen in young children, typically due to the spread of infection from adjacent structures such as the tonsils or paranasal sinuses. In this age group, it is often related to infections caused by organisms such as Streptococcus pneumoniae or Staphylococcus aureus. The retropharyngeal lymph nodes, which are prominent in infants and children, can become infected and can subsequently lead to abscess formation.
With timely recognition and appropriate management, the prognosis for a retropharyngeal abscess in children is generally favorable. However, complications such as mediastinitis, airway obstruction or less frequently internal carotid artery aneurysm formation can occur if the condition is not diagnosed in a timely fashion.
This case illustrates the importance of recognizing the signs and symptoms of a retropharyngeal abscess in pediatric patients. Our patient presented with signs concerning for sepsis and had suspicious restriction of cervical movement, which was initially suspected as a sign of meningism. However, CSF analysis was normal, and was followed by the provided CT scan.
Unable to process the form. Check for errors and try again.