Retropharyngeal Abscess in a Neonate After Extravasation Injury: To Drain or not to Drain?
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...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayincilik
2021-12-01
|
| Series: | Turkish Archives of Otorhinolaryngology |
| Subjects: | |
| Online Access: |
http://turkarchotolaryngol.net/archives/archive-detail/article-preview/retropharyngeal-abscess-in-a-neonate-after-extrava/50610
|
| _version_ | 1828017214150672384 |
|---|---|
| author | Jia-Ji Ng Bee-See Goh Mohd Imree Azmi Erica Yee Hing Shareena Ishak |
| author_facet | Jia-Ji Ng Bee-See Goh Mohd Imree Azmi Erica Yee Hing Shareena Ishak |
| author_sort | Jia-Ji Ng |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-10T10:46:59Z |
| format | Article |
| id | doaj.art-dbe32806f56b426cb634634b4057bbed |
| institution | Directory Open Access Journal |
| issn | 2667-7474 |
| language | English |
| last_indexed | 2024-04-10T10:46:59Z |
| publishDate | 2021-12-01 |
| publisher | Galenos Yayincilik |
| record_format | Article |
| series | Turkish Archives of Otorhinolaryngology |
| spelling | doaj.art-dbe32806f56b426cb634634b4057bbed2023-02-15T16:20:17ZengGalenos YayincilikTurkish Archives of Otorhinolaryngology2667-74742021-12-0159429229610.4274/tao.2021.2021-4-1313049054Retropharyngeal Abscess in a Neonate After Extravasation Injury: To Drain or not to Drain?Jia-Ji Ng0Bee-See Goh1Mohd Imree Azmi2Erica Yee Hing3Shareena Ishak4 Department of Otolaryngology, Head and Neck Surgery, University Kebangsaan Malaysia Medical Center (UKMMC), Kuala Lumpur, Malaysia Department of Otolaryngology, Head and Neck Surgery, University Kebangsaan Malaysia Medical Center (UKMMC), Kuala Lumpur, Malaysia Department of Radiology, University Kebangsaan Malaysia Medical Center (UKMMC), Kuala Lumpur, Malaysia Department of Radiology, University Kebangsaan Malaysia Medical Center (UKMMC), Kuala Lumpur, Malaysia Department of Paediatric; University Kebangsaan Malaysia Medical Center (UKMMC), Kuala Lumpur, Malaysia 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. http://turkarchotolaryngol.net/archives/archive-detail/article-preview/retropharyngeal-abscess-in-a-neonate-after-extrava/50610 retropharyngeal abscessneonatalextravasation of diagnostic and therapeutic materials injurynon-invasive treatmentcase report |
| spellingShingle | Jia-Ji Ng Bee-See Goh Mohd Imree Azmi Erica Yee Hing Shareena Ishak Retropharyngeal Abscess in a Neonate After Extravasation Injury: To Drain or not to Drain? Turkish Archives of Otorhinolaryngology retropharyngeal abscess neonatal extravasation of diagnostic and therapeutic materials injury non-invasive treatment case report |
| title | Retropharyngeal Abscess in a Neonate After Extravasation Injury: To Drain or not to Drain? |
| title_full | Retropharyngeal Abscess in a Neonate After Extravasation Injury: To Drain or not to Drain? |
| title_fullStr | Retropharyngeal Abscess in a Neonate After Extravasation Injury: To Drain or not to Drain? |
| title_full_unstemmed | Retropharyngeal Abscess in a Neonate After Extravasation Injury: To Drain or not to Drain? |
| title_short | Retropharyngeal Abscess in a Neonate After Extravasation Injury: To Drain or not to Drain? |
| title_sort | retropharyngeal abscess in a neonate after extravasation injury to drain or not to drain |
| topic | retropharyngeal abscess neonatal extravasation of diagnostic and therapeutic materials injury non-invasive treatment case report |
| url |
http://turkarchotolaryngol.net/archives/archive-detail/article-preview/retropharyngeal-abscess-in-a-neonate-after-extrava/50610
|
| work_keys_str_mv | AT jiajing retropharyngealabscessinaneonateafterextravasationinjurytodrainornottodrain AT beeseegoh retropharyngealabscessinaneonateafterextravasationinjurytodrainornottodrain AT mohdimreeazmi retropharyngealabscessinaneonateafterextravasationinjurytodrainornottodrain AT ericayeehing retropharyngealabscessinaneonateafterextravasationinjurytodrainornottodrain AT shareenaishak retropharyngealabscessinaneonateafterextravasationinjurytodrainornottodrain |