Retropharyngeal space infection,

Abstract

Retropharyngeal space abscesses is uncommon but potientially lethal infection, now a rare entity since the widespread use of modern antibiotics. In children the classically secondary to upper respiratory infection, while in adults they are usually secondary to trauma, foreign bodies or extension from adjacent space. The authors reviewed 15 patients with retropharyngeal space infection between July 2004 to June 2007. Age, sex, duration of symptoms, hospitalization time, Clinical presentation were analyzed. Widening of the prevertebral soft tissue as seen on a plain film of the lateral neck was the most important diagnostic tool.

Sore throat and Odynophasia were the most common symptoms (93.33 percent) and showed a high prevalence in adult populations (93.33 percent). Four cases were caused by ingestion of a foreign body. Nine cases underwent surgical drainage which was positive in six cases (66.66 percent). Gram negative bacteria (K. preumoniae and P.aeruginasa) was predominant pathogens. Early diagnosis and appropiririate use of antibictic less morbidity, Only two case has portoperative complications and both recovered. Thewere no deaths and only one recurrence requiring repeat surgical drainage.