Pediatr. praxi. 2007;8(6):389-390

Retrofaryngeální absces

MUDr. Karol Zeleník1, doc. MUDr. Pavel Komínek Ph.D1, MUDr. Petr Matoušek Ph.D2
1 Otorinolaryngologická klinika, FNsP Ostrava
2 Oddělení pediatrické resuscitační a intenzivní péče, FNsP, Ostrava

Retrofaryngeální absces je hluboká krční infekce, která nejčastěji vzniká na podkladě abscedující lymfadenitidy po předcházející infekci horních dýchacích cest. Typicky se vyskytuje v období mezi 2.–4. rokem. Svými příznaky napodobuje akutní epiglotitidu. V případě podezření na retrofaryngeální absces je vždy nutná ústavní léčba a CT krku s kontrastem. Léčba spočívá v drenáži abscesu v celkové anestézii, parenterálním podávání ATB a zajištění dýchacích cest. Autoři v příspěvku popisují případ retrofaryngeálního abscesu u ročního dítěte a diskutují současné diagnostické a terapeutické postupy.

Published: January 20, 2008  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Zeleník K, Komínek P, Matoušek P. Retrofaryngeální absces. Pediatr. praxi. 2007;8(6):389-390.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Abdel-Haq MN, Harahsheh A, Asmar IB. Retropharyngeal abscess in children. The emerging role of group A beta hemolytic streptococcus. Southern Medical Journal, 2006; 99(9): 927-931. Go to original source... Go to PubMed...
    2. Brook I. Microbiology of polymicrobial abscesses and implications for therapy. Journal of Antimicrobial Therapy, 2002; 50: 805-810. Go to original source... Go to PubMed...
    3. Craig WF, Schunk JE. Retropharyngeal abscess in children: clinical presentation, utility of imaging and current management. Pediatrics, 2003; 111: 1394-1398. Go to original source... Go to PubMed...
    4. Dawes LC, Bova R, Carter P. Retropharyngeal abscess in children. ANZ J. Surg., 2002; 72: 417-420. Go to original source... Go to PubMed...
    5. Komínek P, Chrobok V, Astl J a kolektiv. Záněty hltanu. 1. vyd. Havlíčkův Brod: Tobiáš, 2005, s. 323.
    6. Lalakea M, Messner AH. Retropharyngeal abscess management in children: current practices. Otolaryngol. Head Neck Surg., 1999; 121: 398-405. Go to original source... Go to PubMed...
    7. Lazor JB, Cunningham MJ, Eavey RD, Weber AL. Comparison of computed tomography and surgical findings in deep neck infection. Otolaryngol. Head Nec Surg., 1994; 111: 746-750. Go to original source...
    8. Lee SS, Schwartz RH, Bahadori RS. Retropharyngeal abscess: epiglottitis of the new millennium. J Pediatr., 2001; 138: 435-437. Go to original source... Go to PubMed...
    9. Matoušek P, Komínek P, Vantuch P. Retrofaryngoezofageální absces. Otorinolaryng. a Foniatr. (Prague), 2003; 52(3): 149-152.
    10. McClay EJ, Murray DA, Booth T. Intravenous antibiotic therapy for deep neck abscesses defined by computed tomography. Arch. Otolaryngolog. Head Neck Surg., 2003; 129: 1207-1212. Go to original source... Go to PubMed...
    11. Phillpott CM, Selvadurai D, Banerjee AR. Paediatric retropharyngeal abscess. Journal of Laryngology and Otology, 2004; 118(12): 919-926. Go to original source... Go to PubMed...
    12. Ungkanont K, Yellon RF, Weissman JL, Casselbrant ML, Gonzalez-Valdepena H, Bluestone CD. Head and neck space infections in infants and children. Otolaryngol. Head Neck Surg., 1995; 112: 375-382. Go to original source... Go to PubMed...

    Return to the content


    Pediatrics for Practice

    Madam, Sir,
    please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
    Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

    I declare:

    1. that I have met the above instruction
    2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited

    No
    Yes

    If your statement is not true, please be aware
    that brings the risk of danger to their health or the health of others.