A 15-Month-Old Boy With Respiratory Distress and Parapharyngeal Abscess: A Case Report
Parapharyngeal abscess is a life-threatening disease. Upper respiratory tract infection is the main cause in children. We present a 15-month-old boy admitted to the emergency ward with the chief complaint of difficulty in breathing caused by parapharyngealabscess. His condition deteriorated graduall...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Tehran University of Medical Sciences
2017-01-01
|
| Series: | Acta Medica Iranica |
| Subjects: | |
| Online Access: | https://acta.tums.ac.ir/index.php/acta/article/view/4955 |
| _version_ | 1811315435057971200 |
|---|---|
| author | Behdad Gharib Masoud Mohammadpour Meisam Sharifzadeh Fatemeh Mirashrafi Bahareh Yaghmaie Neda Pak Mehrzad Mehdizadeh Hamid Eshaghi Mojtaba Gorji Sara Memarian |
| author_facet | Behdad Gharib Masoud Mohammadpour Meisam Sharifzadeh Fatemeh Mirashrafi Bahareh Yaghmaie Neda Pak Mehrzad Mehdizadeh Hamid Eshaghi Mojtaba Gorji Sara Memarian |
| author_sort | Behdad Gharib |
| collection | DOAJ |
| description | Parapharyngeal abscess is a life-threatening disease. Upper respiratory tract infection is the main cause in children. We present a 15-month-old boy admitted to the emergency ward with the chief complaint of difficulty in breathing caused by parapharyngealabscess. His condition deteriorated gradually, and he transferred to the operation theater quickly for abscess drainage and because of the difficulty in orotracheal intubation; a tracheostomy was performed. His respiratory condition deteriorated 2 days after PICU admission, and the medical team noticed an unexplainable respiratory distress. A chest x ray obtained and showed a right side pneumothorax and subcutaneous emphysema around theneck area. The case presented here, had not been diagnosed at the first examination; however, there were enough clinical clues (such as respiratory distress, drooling, torticollis, bulging of theneck, previous viral respiratory infection, possible pharyngeal trauma). The story of this case reminds us the importance of the precise physical exam and history taking which could be life-saving. |
| first_indexed | 2024-04-13T11:30:09Z |
| format | Article |
| id | doaj.art-d3f7ad2e6d704e73b1d109731729c7a6 |
| institution | Directory Open Access Journal |
| issn | 0044-6025 1735-9694 |
| language | English |
| last_indexed | 2024-04-13T11:30:09Z |
| publishDate | 2017-01-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Acta Medica Iranica |
| spelling | doaj.art-d3f7ad2e6d704e73b1d109731729c7a62022-12-22T02:48:35ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942017-01-0154125102A 15-Month-Old Boy With Respiratory Distress and Parapharyngeal Abscess: A Case ReportBehdad Gharib0Masoud Mohammadpour1Meisam Sharifzadeh2Fatemeh Mirashrafi3Bahareh Yaghmaie4Neda Pak5Mehrzad Mehdizadeh6Hamid Eshaghi7Mojtaba Gorji8Sara Memarian9Department of Pediatric Intensive Care, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.Department of Pediatric Intensive Care, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.Department of Pediatric Intensive Care, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.Department of Pediatrics, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.Department of Pediatric Intensive Care, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.Department of Pediatrics, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.Department of Pediatrics, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.Department of Pediatrics, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.Department of Pediatrics, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.Department of Pediatrics, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.Parapharyngeal abscess is a life-threatening disease. Upper respiratory tract infection is the main cause in children. We present a 15-month-old boy admitted to the emergency ward with the chief complaint of difficulty in breathing caused by parapharyngealabscess. His condition deteriorated gradually, and he transferred to the operation theater quickly for abscess drainage and because of the difficulty in orotracheal intubation; a tracheostomy was performed. His respiratory condition deteriorated 2 days after PICU admission, and the medical team noticed an unexplainable respiratory distress. A chest x ray obtained and showed a right side pneumothorax and subcutaneous emphysema around theneck area. The case presented here, had not been diagnosed at the first examination; however, there were enough clinical clues (such as respiratory distress, drooling, torticollis, bulging of theneck, previous viral respiratory infection, possible pharyngeal trauma). The story of this case reminds us the importance of the precise physical exam and history taking which could be life-saving.https://acta.tums.ac.ir/index.php/acta/article/view/4955Parapharyngeal abscessRespiratory distressMediastinitisRetropharyngeal abscess |
| spellingShingle | Behdad Gharib Masoud Mohammadpour Meisam Sharifzadeh Fatemeh Mirashrafi Bahareh Yaghmaie Neda Pak Mehrzad Mehdizadeh Hamid Eshaghi Mojtaba Gorji Sara Memarian A 15-Month-Old Boy With Respiratory Distress and Parapharyngeal Abscess: A Case Report Acta Medica Iranica Parapharyngeal abscess Respiratory distress Mediastinitis Retropharyngeal abscess |
| title | A 15-Month-Old Boy With Respiratory Distress and Parapharyngeal Abscess: A Case Report |
| title_full | A 15-Month-Old Boy With Respiratory Distress and Parapharyngeal Abscess: A Case Report |
| title_fullStr | A 15-Month-Old Boy With Respiratory Distress and Parapharyngeal Abscess: A Case Report |
| title_full_unstemmed | A 15-Month-Old Boy With Respiratory Distress and Parapharyngeal Abscess: A Case Report |
| title_short | A 15-Month-Old Boy With Respiratory Distress and Parapharyngeal Abscess: A Case Report |
| title_sort | 15 month old boy with respiratory distress and parapharyngeal abscess a case report |
| topic | Parapharyngeal abscess Respiratory distress Mediastinitis Retropharyngeal abscess |
| url | https://acta.tums.ac.ir/index.php/acta/article/view/4955 |
| work_keys_str_mv | AT behdadgharib a15montholdboywithrespiratorydistressandparapharyngealabscessacasereport AT masoudmohammadpour a15montholdboywithrespiratorydistressandparapharyngealabscessacasereport AT meisamsharifzadeh a15montholdboywithrespiratorydistressandparapharyngealabscessacasereport AT fatemehmirashrafi a15montholdboywithrespiratorydistressandparapharyngealabscessacasereport AT baharehyaghmaie a15montholdboywithrespiratorydistressandparapharyngealabscessacasereport AT nedapak a15montholdboywithrespiratorydistressandparapharyngealabscessacasereport AT mehrzadmehdizadeh a15montholdboywithrespiratorydistressandparapharyngealabscessacasereport AT hamideshaghi a15montholdboywithrespiratorydistressandparapharyngealabscessacasereport AT mojtabagorji a15montholdboywithrespiratorydistressandparapharyngealabscessacasereport AT saramemarian a15montholdboywithrespiratorydistressandparapharyngealabscessacasereport AT behdadgharib 15montholdboywithrespiratorydistressandparapharyngealabscessacasereport AT masoudmohammadpour 15montholdboywithrespiratorydistressandparapharyngealabscessacasereport AT meisamsharifzadeh 15montholdboywithrespiratorydistressandparapharyngealabscessacasereport AT fatemehmirashrafi 15montholdboywithrespiratorydistressandparapharyngealabscessacasereport AT baharehyaghmaie 15montholdboywithrespiratorydistressandparapharyngealabscessacasereport AT nedapak 15montholdboywithrespiratorydistressandparapharyngealabscessacasereport AT mehrzadmehdizadeh 15montholdboywithrespiratorydistressandparapharyngealabscessacasereport AT hamideshaghi 15montholdboywithrespiratorydistressandparapharyngealabscessacasereport AT mojtabagorji 15montholdboywithrespiratorydistressandparapharyngealabscessacasereport AT saramemarian 15montholdboywithrespiratorydistressandparapharyngealabscessacasereport |