Retropharyngeal Abscess in a Neonate After Extravasation Injury: To Drain or not to Drain?
| Autor: | Ng JJ; Department of Otolaryngology, Head and Neck Surgery, University Kebangsaan Malaysia Medical Center (UKMMC), Kuala Lumpur, Malaysia., Goh BS; Department of Otolaryngology, Head and Neck Surgery, University Kebangsaan Malaysia Medical Center (UKMMC), Kuala Lumpur, Malaysia., Azmi MI; Department of Radiology, University Kebangsaan Malaysia Medical Center (UKMMC), Kuala Lumpur, Malaysia., Hing EY; Department of Radiology, University Kebangsaan Malaysia Medical Center (UKMMC), Kuala Lumpur, Malaysia., Ishak S; Department of Paediatric; University Kebangsaan Malaysia Medical Center (UKMMC), Kuala Lumpur, Malaysia. |
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| Jazyk: | angličtina |
| Zdroj: | Turkish archives of otorhinolaryngology [Turk Arch Otorhinolaryngol] 2021 Dec; Vol. 59 (4), pp. 292-296. Date of Electronic Publication: 2022 Feb 22. |
| DOI: | 10.4274/tao.2021.2021-4-13 |
| Abstrakt: | Neonatal retropharyngeal abscess (RPA) is a rare and life-threatening entity. Most of the cases are idiopathic in nature. We encountered a case of RPA in a newborn secondary to extravasation injury. The presence of neck swelling with clinical deterioration following extravasation of total parenteral nutrition (TPN) infused via a peripherally inserted central catheter at the right upper limb raised the suspicion of neck abscess. This was later confirmed to be RPA based on magnetic resonance imaging of the neck. She was treated with prolonged intravenous antibiotics in the Neonatal Intensive Care Unit (NICU). Her condition gradually improved, evidenced by resolution of the collection on serial imaging. Early recognition and prompt management are crucial to reduce the morbidity and mortality from RPA. Competing Interests: Conflict of Interest: No conflict of interest was declared by the authors. (©Copyright 2021 by Official Journal of the Turkish Society of Otorhinolaryngology and Head and Neck Surgery.) |
| Databáze: | MEDLINE |
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