Potential for severe airway obstruction from pediatric retropharyngeal abscess

Michelle M. LeRiger; Veronica Miler; Joseph D. Tobias; Vidya T. Raman; Charles A. Elmaraghy; Kris R. Jatana

doi:10.2147/IMCRJ.S146661

Potential for severe airway obstruction from pediatric retropharyngeal abscess

Michelle M. LeRiger, Veronica Miler, Joseph D. Tobias, Vidya T. Raman, Charles A. Elmaraghy, Kris R. Jatana

Anesthesiology

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

Retropharyngeal abscesses in the pediatric population can cause severe respiratory distress. We report a rare case of significant airway obstruction in a 14-month-old patient requiring rapid, emergent tracheotomy after attempts at endotracheal intubation by an experienced airway surgeon were unsuccessful. The patient was diagnosed with streptococcal pharyngitis 9 days prior to presentation to our facility and was being treated with amoxicillin. Prompt diagnosis, communication, and appropriate multidisciplinary airway management can lead to successful outcomes even in these severe cases.

Original language	English (US)
Pages (from-to)	381-384
Number of pages	4
Journal	International Medical Case Reports Journal
Volume	10
DOIs	https://doi.org/10.2147/IMCRJ.S146661
State	Published - Nov 23 2017

Keywords

Emergent tracheotomy
Pediatric airway obstruction
Pharyngitis
Respiratory distress
Retropharyngeal abscess

ASJC Scopus subject areas

Medicine(all)

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10.2147/IMCRJ.S146661

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title = "Potential for severe airway obstruction from pediatric retropharyngeal abscess",

abstract = "Retropharyngeal abscesses in the pediatric population can cause severe respiratory distress. We report a rare case of significant airway obstruction in a 14-month-old patient requiring rapid, emergent tracheotomy after attempts at endotracheal intubation by an experienced airway surgeon were unsuccessful. The patient was diagnosed with streptococcal pharyngitis 9 days prior to presentation to our facility and was being treated with amoxicillin. Prompt diagnosis, communication, and appropriate multidisciplinary airway management can lead to successful outcomes even in these severe cases.",

keywords = "Emergent tracheotomy, Pediatric airway obstruction, Pharyngitis, Respiratory distress, Retropharyngeal abscess",

author = "LeRiger, {Michelle M.} and Veronica Miler and Tobias, {Joseph D.} and Raman, {Vidya T.} and Elmaraghy, {Charles A.} and Jatana, {Kris R.}",

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AU - LeRiger, Michelle M.

AU - Miler, Veronica

AU - Tobias, Joseph D.

AU - Raman, Vidya T.

AU - Elmaraghy, Charles A.

AU - Jatana, Kris R.

PY - 2017/11/23

Y1 - 2017/11/23

N2 - Retropharyngeal abscesses in the pediatric population can cause severe respiratory distress. We report a rare case of significant airway obstruction in a 14-month-old patient requiring rapid, emergent tracheotomy after attempts at endotracheal intubation by an experienced airway surgeon were unsuccessful. The patient was diagnosed with streptococcal pharyngitis 9 days prior to presentation to our facility and was being treated with amoxicillin. Prompt diagnosis, communication, and appropriate multidisciplinary airway management can lead to successful outcomes even in these severe cases.

AB - Retropharyngeal abscesses in the pediatric population can cause severe respiratory distress. We report a rare case of significant airway obstruction in a 14-month-old patient requiring rapid, emergent tracheotomy after attempts at endotracheal intubation by an experienced airway surgeon were unsuccessful. The patient was diagnosed with streptococcal pharyngitis 9 days prior to presentation to our facility and was being treated with amoxicillin. Prompt diagnosis, communication, and appropriate multidisciplinary airway management can lead to successful outcomes even in these severe cases.

KW - Emergent tracheotomy

KW - Pediatric airway obstruction

KW - Pharyngitis

KW - Respiratory distress

KW - Retropharyngeal abscess

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Potential for severe airway obstruction from pediatric retropharyngeal abscess

Abstract

Keywords

ASJC Scopus subject areas

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