Recurrent respiratory papillomatosis mimicking retropharyngeal abscess in a Nigerian child.

Autor: Nwaorgu OG; Department of Otorhinolaryngology, University College Hospital, Ibadan. geoniks@skannet.com, Ayodele KJ, Onakoya PA
Jazyk: angličtina
Zdroj: West African journal of medicine [West Afr J Med] 2004 Jan-Mar; Vol. 23 (1), pp. 91-3.
DOI: 10.4314/wajm.v23i1.28094
Abstrakt: Unlabelled: Recurrent respiratory papillomatosis (RRP) is not an uncommon disease of the aero-digestive tract, usually involving points of narrowing. Involvement of the oropharynx, particularly when florid, may be easily confused with a retropharyngeal abscess.
Study Design: Case report of a 1 1/2 year-old child with florid pharyngeal RRP.
Results: The clinical presentation and features on radiography of this patient mimicked retropharyngeal abscess. The patient successfully had a preoperative tracheosomy and excision of the RRP.
Conclusion: There was a diagnostic dilemma in this patient because of the identical features of the two conditions. A high index of suspicion and painstaking, careful clinical and radiological evaluation is the key to diagnosis and prompt definitive management.
Databáze: MEDLINE