A case of neonatal stridor

Absullah, V.; Ng, S. K.; Chow, S. N.; Yau, F. T.; van Hasselt, C. A.
November 2002
Archives of Disease in Childhood -- Fetal & Neonatal Edition;Nov2002, Vol. 87 Issue 3, p224
Academic Journal
Retropharyngeal abscesses commonly present in infants and young children. The dangers of a retropharyngeal abscess are airway obstruction and spread of infection to involve the carotid sheath and/or the mediastinum. Prompt treatment is therefore indicated. The airway, if compromised, should be secured before other diagnostic procedures; this is especially important in neonates. Oral intubation should be carried out with great caution to avoid rupturing the abscess, which could result in aspiration of its contents with fatal consequences. Parenteral antibiotics covering both aerobic and anaerobic flora of the upper aerodigestive tract should be prescribed.


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