Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Fish bone foreign body presenting with an acute fulminating retropharyngeal abscess in a resource-challenged center: a case report. | Afolabi et al. Journal of Medical Case Reports 2011 5 165 http content 5 1 165 WV journalof medical l rCASE REPORTS CASE REPORT Open Access Fish bone foreign body presenting with an acute fulminating retropharyngeal abscess in a resource-challenged center a case report Olushola A Afolabi 1 Joseph O Fadare1 Ezekiel O Oyewole1 and Stephen A Ogah2 Abstract Introduction A retropharyngeal abscess is a potentially life-threatening infection in the deep space of the neck which can compromise the airway. Its management requires highly specialized care including surgery and intensive care to reduce mortality. This is the first case of a gas-forming abscess reported from this region but not the first such report in the literature. Case presentation We present a case of a 16-month-old Yoruba baby girl with a gas-forming retropharyngeal abscess secondary to fish bone foreign body with laryngeal spasm that was managed in the recovery room. We highlight specific problems encountered in the management of this case in a resource-challenged center such as ours. Conclusion We describe an unusual presentation of a gas-forming organism causing a retropharyngeal abscess in a child. The patient s condition was treated despite the challenges of inadequate resources for its management. We recommend early recognition through adequate evaluation of any oropharyngeal injuries or infection and early referral to the specialist with prompt surgical intervention. Introduction A retropharyngeal abscess is an infection with abscess collection in one of the deep spaces of the neck 1-3 . An abscess in this location is an immediate life-threatening emergency with the potential for airway compromise and other catastrophic complications 1 . Patients with diabetes and those who are debilitated older adults or immunocompromised patients are more likely to get this infection 2-4 . Delay in diagnosis results in high mortality and morbidity 4 5 . Although much has been written .
