Retropharyngeal Abscess (Throat Abscess)
Description
The retropharyngeal space is behind the throat and in front of the spine. This space can become infected and develop a collection of pus, an abscess. The infection can close off the airway and result in death if untreated. The area becomes infected either by direct spread of an infection from the overlying throat or from the space being injured secondary to trauma.
Symptoms
Recent sore throat, infected nose or teeth, high fever, severe throat pain, difficulty swallowing, drooling, breathing difficulty, strider (a high-pitched sound when inhaling), stiff neck.
Tests
A history and physical exam will be performed. A CT scan is most often done to establish the diagnosis.
- CBC
- Chem 12
- X-Ray
- CT Scan
Treatment
Surgery is needed to drain the infected area, and intravenous antibiotics are administered A breathing tube may be inserted into the trachea to protect the airway.
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