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Retropharyngeal abscess

 

Definition

Retropharyngeal abscess is a collection of pus in the tissues in the back of the throat. It is a potentially life-threatening medical condition.

See also: Peritonsillar abscess

Causes

Retropharyngeal abscess generally affects children under age 5, but it can occur at any age.

Infected material (pus) builds up in the space around the tissues at the back of the throat. This can occur during or immediately after a throat infection.

Symptoms
Signs and tests

The health care provider will perform a physical exam and look inside the throat. The doctor or nurse may gently rub the back of the throat with a cotton swab, so that a sample of tissue can be more closely examined. This is called a throat culture.

Other tests may include:

Support Groups

Expectations (prognosis)

It is important to get immediate medical help. This condition can lead to blockage of the airway, which can be life-threatening. With prompt treatment, you can make a full recovery.

Calling your health care provider

Call your health care provider if you or your child develops a high fever with severe throat pain.

Seek immediate medical help if you have:

  • Breathing difficulty
  • High-pitched breathing sounds (stridor)
  • Muscles between the ribs pull in when breathing (intercostal retractions)
Complications

This list may not include all types of complications.

Treatments

Surgery is needed to drain the infected area. Corticosteroids are sometimes given to reduce airway swelling. High-dose antibiotics are given through a vein (intravenous) to treat the infection.

The airway will be protected so that it does not become completely blocked by the swelling.

Prevention

Prompt diagnosis and treatment of pharyngitis or upper respiratory infections will generally prevent retropharyngeal abscess.

References

Cummings CW, Flint PW, Haughey BH, et al. Otolaryngology: Head & Neck Surgery. 4th ed. St Louis, Mo; Mosby; 2005:4365-4367.

Marx J. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 6th ed. St. Louis, Mo: Mosby; 2006:1120-1121.


Review Date: 10/10/2008
Reviewed By: Alan Lipkin, MD, Otolaryngologist, Private Practice, Denver, Colorado. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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