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Alougly S, Alhsony A, Elarwah A, Elbragathy S. Acute Retropharyngeal Abscess in Libyan Children: Case Series and Literature Review. IBNOSINA JOURNAL OF MEDICINE AND BIOMEDICAL SCIENCES 2022. [DOI: 10.1055/s-0042-1760303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/10/2023]
Abstract
Abstract
Background A retropharyngeal abscess (RPA) is a deep neck infection that considers a medical emergency because of the possibility of serious complications including life-threatening upper airway obstruction, mediastinitis, and sepsis.
Materials and Methods We present our experience in Benghazi Children's Hospital, describing the clinical presentations, diagnostic workup, management, and the outcome of four children presented during the time period between November 2017 and November 2021 as cases of RPA secondary to penetrating trauma to the posterior pharyngeal wall either due to ingestion of a foreign body or due to manipulation of tonsils by the traditional therapist.
Results All cases presented with fever, poor feeding, and hyperextension of the neck. All were diagnosed by ultrasound and they needed surgical drainage of RPA, as they did not improve with medical treatment alone.
Conclusion A high index of suspicion is necessary for the early diagnosis and treatment of RPA. Two of our cases were presented following the manipulation of tonsils by a traditional therapist, so we attempted to emphasize this life-threatening consequence after traditional therapy, as well as the unnecessary morbidity and mortality associated with this ongoing traditional treatment in our country.
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Affiliation(s)
- Shirin Alougly
- Pediatrics Intensive Care Unit, Benghazi Children's Hospital, Benghazi, Libya
- Pediatric Department, Faculty of Medicine, Benghazi University, Benghazi, Libya
| | - Alia Alhsony
- Pediatrics Intensive Care Unit, Benghazi Children's Hospital, Benghazi, Libya
- Pediatric Department, Faculty of Medicine, Benghazi University, Benghazi, Libya
| | - Aisha Elarwah
- Pediatrics Intensive Care Unit, Benghazi Children's Hospital, Benghazi, Libya
- Pediatric Department, Faculty of Medicine, Benghazi University, Benghazi, Libya
| | - Suliman Elbragathy
- Pediatrics Intensive Care Unit, Benghazi Children's Hospital, Benghazi, Libya
- Pediatric Department, Faculty of Medicine, Benghazi University, Benghazi, Libya
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Keïta A, Diallo I, Fofana M, Diallo MA, Diallo MMR, Balde O, Camara A, Sacko S. [Retropharyngeal abscess: case study of 5 cases and literature review]. Pan Afr Med J 2020; 36:360. [PMID: 33224426 PMCID: PMC7664136 DOI: 10.11604/pamj.2020.36.360.24282] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2020] [Accepted: 06/30/2020] [Indexed: 11/18/2022] Open
Abstract
Nous rapportons 5 cas d´abcès rétropharyngés que nous avons corrélé avec la littérature. Il y avait des enfants ainsi que des adultes. Le corps étranger à type d´arête de poisson a été l´étiologie la plus dominante. La dysphagie accompagnée de douleur, la fièvre et le torticolis ont été les symptômes fréquents. L´abcès rétropharyngé siégeait beaucoup plus en région oropharyngée et hypopharyngée. L´imagerie notamment la tomodensitométrie nous a permis d´avoir des informations précises chez les 3 patients qui en ont bénéficié. L´obstruction des voies aéro-digestives a été retrouvé chez la plupart de nos patients. Seulement 4 patients ont bénéficié d´une incision drainage. Tous les patients ont bénéficié d´un traitement médical. Nous avons enregistré le décès de l´enfant de 2 ans dans un tableau de choc septique à J5 post-opératoire. Nous avons constaté la rareté de cette affection dans notre contexte mais engageant le pronostic vital si le diagnostic et le traitement retardent.
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Affiliation(s)
- Abdoulaye Keïta
- Service Oto-Rhino-Laryngologie et Chirurgie Cervico-Faciale, Hôpital National Donka, Centre Hospitalier et Universitaire de Conakry, Conakry, Guinée
| | - Ibrahima Diallo
- Service Oto-Rhino-Laryngologie et Chirurgie Cervico-Faciale, Hôpital National Donka, Centre Hospitalier et Universitaire de Conakry, Conakry, Guinée
| | - Mamady Fofana
- Service Oto-Rhino-Laryngologie et Chirurgie Cervico-Faciale, Hôpital Régional de Kankan, Kankan, Guinée
| | - Mamadou Aliou Diallo
- Service Oto-Rhino-Laryngologie et Chirurgie Cervico-Faciale, Hôpital National Donka, Centre Hospitalier et Universitaire de Conakry, Conakry, Guinée
| | - Mamadou Mouctar Ramata Diallo
- Service Oto-Rhino-Laryngologie et Chirurgie Cervico-Faciale, Hôpital National Donka, Centre Hospitalier et Universitaire de Conakry, Conakry, Guinée
| | - Oughaïlou Balde
- Service Oto-Rhino-Laryngologie et Chirurgie Cervico-Faciale, Hôpital National Donka, Centre Hospitalier et Universitaire de Conakry, Conakry, Guinée
| | - Alseny Camara
- Service Oto-Rhino-Laryngologie et Chirurgie Cervico-Faciale, Hôpital National Donka, Centre Hospitalier et Universitaire de Conakry, Conakry, Guinée
| | - Sory Sacko
- Unité Oto-Rhino-Laryngologie et Chirurgie Cervico-Faciale, Hôpital Régional de Mamou, Mamou, Guinée
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