A retropharyngeal (reh-tro-fah-RIN-jee-ul) abscess is an infection that forms behind the back wall of the throat. They're not common in children, but when they do happen, it is usually in those younger than 5 years old.
A retropharyngeal abscess happens when bacteria grow in the lymph nodes behind the throat. Lymph nodes help fight infections by removing germs, but sometimes they can’t keep up.
An abscess can form after a child has an ear infection, throat infection, or sinus infection. It also can happen after an injury to the neck or throat.
At first, a retropharyngeal abscess may cause a sore throat, fever, and tender in the neck.
Without treatment, symptoms can get worse. A child might:
A doctor usually can diagnose a retropharyngeal abscess based on symptoms and by examining a child’s mouth, throat, and neck.
If a retropharyngeal abscess seems likely, the child should see an ear, nose, and throat (ENT) specialist. Blood tests, X-rays, or a CT scan can help doctors make the diagnosis.
A child with a retropharyngeal abscess needs treatment in a hospital. Doctors will give IV (into a vein) antibiotics and might need to do surgery to drain the abscess. This is recommended if:
If a child has breathing problems, doctors will use a breathing tube to keep the airway open before the child has surgery.
Most children can switch to oral antibiotics if their symptoms improve after several days of IV antibiotics.
Call your doctor if your child has a sore throat and fever. Get medical care right away if your child:
Note: All information is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor.
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