Pediatric neck-abscess incidence has decreased thanks to early treatment using antibiotics, but diagnosis remains difficult due to varied clinical symptoms and a lack of subjective complaints. It must be diagnosed and treated early, due to being potentially life-threatening.
We studied 15 such cases—12 boys and 3 girls, 0 to 11 years old (mean; 3.5)—treated from January 2005 to January 2010. Their chief complaints were 5 high fevers, 4 neck swellings, and 6 neck and throat pain. Neck computed tomography (CT) with contrast medium was useful in diagnosis. Neck abscesses were found in 4 patients in the retropharyngeal space and parapharyngeal space, 2 patients in the submandibular space, retrocervical space, thyroid glands, and peritonsillar space, plus 3 miscellaneous. Antibiotics were used to treat all cases. Eleven required surgery and one puncture. Bacteria detected in 10 cases were 4 of
Streptococcus pyogenes (
Group A), 3 of
Staphylococcus aureus, and 1 each of
Group F Streptococcus,
Peptostreptococcus sp. and
Actinomyces. Hospitalization ranged from 7 to 44 days (mean; 17.2).
All cases recovered satisfactorily.
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