Retropharyngeal Abscess

What is Retropharyngeal Abscess

Retropharyngeal abscess is a collection of pus (abscess) in the back of the throat. It is usually caused by a bacterial infection.

This infection can make it difficult to swallow and breathe normally. This can be a serious condition that requires immediate medical attention.

What are the causes?

This condition is usually caused by a bacterial infection. In adults, a retropharyngeal abscess is often caused by a spine infection. In children, a retropharyngeal abscess is often caused by an upper respiratory illness. When a lymph node in the retropharyngeal area gets infected, it can become filled with pus and cause swelling.

What are the signs or symptoms?

Symptoms of this condition include:

  • Swelling, pain, and tenderness on one side or both sides of the back of the throat.
  • A high fever.
  • A stiff neck.
  • Trouble breathing.
  • Trouble swallowing.
  • Pain when swallowing.
  • A muffled voice.

How is this diagnosed?

This condition is diagnosed with a physical exam and X-rays or a CT scan.

How is this treated?

This condition is usually treated with:

  • Antibiotic medicines.
  • Incision and drainage. This is a procedure in which a surgical cut (incision) is made over the abscess to allow pus to drain out of it.

Follow these instructions at home:

  • Take over-the-counter and prescription medicines only as told by your health care provider.
  • If you were prescribed an antibiotic medicine, take it as told by your health care provider. Do not stop taking the antibiotic even if you start to feel better.
  • Watch for any changes in your condition.
  • Keep all follow-up visits as told by your health care provider. This is important.

Contact a health care provider if:

  • You cannot swallow food or liquids.
  • Your symptoms get worse.
  • You are starting to drool because of pain when you swallow.
  • You feel short of breath whenever you lie flat.

Get help right away if:

  • Your symptoms get worse.
  • You develop noisy breathing.
  • You develop muscle aches.
  • You develop a stiff neck.
  • You have a severe headache that does not get better with medicines.
  • You have a fever or chills.

Summary

  • Retropharyngeal abscess is usually caused by a bacterial infection.
  • This infection should be treated immediately and should be considered a serious medical condition.
  • Treatment may include draining the abscess and prescribing antibiotic medicines.
  • Contact your health care provider if any of your symptoms get worse or they do not improve with treatment.
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