Posterolateral epidural abscess and root compression: a rare complication of retropharyngeal abscess

Main Article Content

Christian Kammerer Miranda
Diego Escobar
Mónica Silva

Abstract

Introduction: posterolateral epidural abscess and radicular compression is a rare
complication of retropharyngeal abscess (RFA), a case report with this extremely
rare complication was made. Method: case report and review of the literature (radiological
studies, clinical history, clinical findings) patient’s consent was signed
for the publication. Results: a 33-year-old patient referred at the tertiary care level
with a clinical picture of cervicalgia, odynophagia and fever; CT and MRI showed
retropharyngeal collection with epidural involvement in the cord cervical space,
physical examination, odynophagia, cervicalgia, fever and loss of muscle strength in
the right upper limb. Led to surgical management by ENT and orthopedics column
for drainage of the collection; antibiotic therapy with cefepime, clindamycin for 21
days with good results; It was considered of idiopathic origin.

Downloads

Download data is not yet available.

Article Details

How to Cite
1.
Kammerer Miranda C, Escobar D, Silva M. Posterolateral epidural abscess and root compression: a rare complication of retropharyngeal abscess. Acta otorrinolaringol cir cabeza cuello [Internet]. 2021Mar.31 [cited 2024May18];49(1):53 - 56. Available from: https://www.revista.acorl.org.co/index.php/acorl/article/view/353
Section
Reportes de Casos
Author Biography

Christian Kammerer Miranda, universidad del valle

Residente de otorrinolaringologia ultimo año universidad del valle - cali

References

Dudas R, Serwint JR. In Brief: Retropharyngeal Abscess. Pediatrics in Review. 2006;27(6);e45-e46.

Benmansour N, Benali A, Poirrier AL, Cherkaoui A, Oudidi A, Elalami MN. Retropharyngeal abscess in adults. Rev Laryngol

Otol Rhinol (Bord). 2012;133(3):137-9.

Khudan A, Jugmohansingh G, Islam S, Medford S, Naraynsingh V. The effectiveness of conservative management

for retropharyngeal abscesses greater than 2 cm. Ann Med Surg(Lond). 2016;11:62-65. doi: 10.1016/j.amsu.2016.10.001

Bandopadhyay SN, Mukherjee D, Mukherjee D, Banerjee S, Sen SK. Adult retropharyngeal abscess. BJOHNS. 2015;23(1):7-11.doi: 10.47210/bjohns.2015.v23i1.30

Kokten N, Cam OH, Kilicaslan A, Hanege FM, Uzun L,et al. Retropharyngeal Abscess: Three Unusual Cases. J

Otolaryngology ENT Res. 2016;5(3):00144. doi: 10.15406/joentr.2016.05.00144

Sánchez Arguiano J, Holanda Peña MS, Santa-Cruz V, Lanza Gómez JM, Obeso González, T. ¿Cómo abordamos el absceso

retrofaríngeo con extensión mediastínica? Bol. Pediatr.2016;56(237):198-200.

Ortega Coronel MF, Calvo Piña J, Mena G. Absceso retrofaríngeo complicado. Revista de la Federación Ecuatoriana

de Sociedades de Radiología. 2011;4:9 -11.

Afolabi A, Fadare JO, Ogah SA, Oyewole EO. Retropharyngeal Abscess in Diabetics: A Challenge. Hong Kong: R&T Centre;

Harkani A, Hassani R, Ziad T, Aderdour L, Nouri H, Rochdi Y,et al. Retropharyngeal abscess in adults: five case reports and review of the literature. ScientificWorldJournal. 2011;11:1623-9. doi: 10.1100/2011/915163

Amaya-Tapia G, Rodríguez-Toledo A, Aguilar-Benavides S, Aguirre-Avalos G. Large Retropharyngeal Abscesses

in an Immunocompetent Adult Patient with Disseminated Tuberculosis. Am J Case Rep. 2016;17:690-693. doi: 10.12659/

ajcr.899090