Retropharyngeal Abscess and Mediastinitis in a Well-Appearing Infant With Prolonged Fever

被引：6

作者：

Vinograd, Alexandra M. ^{[1
,2
]}

Zonfrillo, Mark R. ^{[1
,2
,3
]}

Pawel, Barbara ^{[1
,2
]}

机构：

[1] Childrens Hosp Philadelphia, Div Emergency Med, 34th & Civ Ctr Blvd, Philadelphia, PA 19104 USA

[2] Univ Penn, Dept Pediat, Perelman Sch Med, Philadelphia, PA 19104 USA

[3] Childrens Hosp Philadelphia, Ctr Injury Res & Prevent, 34th & Civ Ctr Blvd, Philadelphia, PA 19104 USA

来源：

PEDIATRIC EMERGENCY CARE | 2017年 / 33卷 / 01期

关键词：

retropharyngeal abscess; mediastinitis; prolonged fever; stridor; RESISTANT STAPHYLOCOCCUS-AUREUS; DEEP NECK ABSCESSES; SPACE INFECTIONS; CHILDREN; MANAGEMENT;

D O I：

10.1097/PEC.0000000000000849

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Fever is a common presenting chief complaint in the pediatric emergency department. We report the case of a well-appearing 11-month-old female with 2 weeks of daily fevers who was found to have an extensive retropharyngeal abscess with mediastinal and extrapleural extension. We review the literature on retropharyngeal abscesses and mediastinitis in children and note that this patient is unusual as she presented with such extensive disease with minimal symptoms. This case demonstrates the importance of a thorough history and broad differential diagnosis when evaluating children presenting prolonged fevers.

引用

页码：43 / 46

页数：4

共 15 条

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