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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.