A 5-Year-Old Child with a Deep Neck Abscess Complicated by Laryngeal Obstruction.

deep neck space infection neck abscess neck pain torticollis

Journal

Children (Basel, Switzerland)
ISSN: 2227-9067
Titre abrégé: Children (Basel)
Pays: Switzerland
ID NLM: 101648936

Informations de publication

Date de publication:
22 Dec 2022
Historique:
received: 11 11 2022
revised: 17 12 2022
accepted: 19 12 2022
entrez: 21 1 2023
pubmed: 22 1 2023
medline: 22 1 2023
Statut: epublish

Résumé

Deep neck space infections (DNSI) are defined as infections in the potential spaces and fascial planes of the neck. We show the clinical case of a retro and para-pharyngeal abscess in a healthy 5-year-old child complicated by compression and dislocation of the larynx with marked airway caliber reduction and potentially fatal extension up to the mediastinal aditus. DNSI can occur at any age and, due to its rapid progression, requires immediate treatment in children. In healthy children, concurrent abscesses in separate neck spaces are rare. DNSI recurrence should alert the physician to the possibility of a congenital problem, and if imaging fails, laryngoscopy may be the best diagnostic technique.

Identifiants

pubmed: 36670568
pii: children10010017
doi: 10.3390/children10010017
pmc: PMC9856470
pii:
doi:

Types de publication

Case Reports

Langues

eng

Références

Front Pediatr. 2020 Oct 30;8:575812
pubmed: 33194907
Otolaryngol Head Neck Surg. 2013 Jun;148(6):1037-42
pubmed: 23520072
Diagnostics (Basel). 2021 Sep 28;11(10):
pubmed: 34679481
Acta Radiol. 2014 Oct;55(8):945-51
pubmed: 24249813
Int J Pediatr Otorhinolaryngol. 2012 Nov;76(11):1647-53
pubmed: 22921604
J Magn Reson Imaging. 2007 Mar;25(3):453-65
pubmed: 17279529
Medicine (Baltimore). 2021 May 14;100(19):e25942
pubmed: 34106664
Otolaryngol Clin North Am. 2008 Jun;41(3):459-83, vii
pubmed: 18435993
Semin Ultrasound CT MR. 2020 Feb;41(1):74-84
pubmed: 31964496
Wiley Interdiscip Rev Dev Biol. 2014 Nov-Dec;3(6):403-18
pubmed: 25176500
Acta Otorhinolaryngol Ital. 2011 Jun;31(3):190-3
pubmed: 22058596
Radiol Clin North Am. 2012 Jan;50(1):73-83
pubmed: 22099488
J Pediatr Surg. 2014 Aug;49(8):1264-7
pubmed: 25092087
Pediatr Surg Int. 2016 Jun;32(6):623-7
pubmed: 26820515
J Microbiol Immunol Infect. 2017 Oct;50(5):627-633
pubmed: 26507671
J Laryngol Otol. 2010 Sep;124(9):1025-9
pubmed: 20156371
J Magn Reson Imaging. 2021 Jan;53(1):85-95
pubmed: 32896061
Medicine (Baltimore). 2015 Jul;94(27):e994
pubmed: 26166132

Auteurs

Armando Di Ludovico (A)

Department of Pediatrics, University of Chieti, 66100 Chieti, Italy.

Massimiliano Raso (M)

Department of Pediatrics, University of Chieti, 66100 Chieti, Italy.

Paola Di Filippo (P)

Department of Pediatrics, University of Chieti, 66100 Chieti, Italy.

Sabrina Di Pillo (S)

Department of Pediatrics, University of Chieti, 66100 Chieti, Italy.

Roberta Zappacosta (R)

Department of Pathology, University of Chieti, 66100 Chieti, Italy.

Giustino Parruti (G)

Infectious Diseases Unit, Pescara General Hospital, 65123 Pescara, Italy.

Pasquale Zingariello (P)

Department of Medical Oral Sciences, and Biotechnology, Section of Otolaryngology, University of Chieti, 66100 Chieti, Italy.

Francesco Chiarelli (F)

Department of Pediatrics, University of Chieti, 66100 Chieti, Italy.

Marina Attanasi (M)

Department of Pediatrics, University of Chieti, 66100 Chieti, Italy.

Classifications MeSH