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Eur J Gen Pract 2022 Dec;28(1):142-149

Department of Family Medicine and Siaal Research Center for Family Medicine and Primary Care, The Haim Doron Division of Community Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

Background: Acute upper respiratory infections are the most common reason for primary physician visits in the community. This study investigated whether the type of antibiotic used to treat streptococcal tonsillitis can reduce the burden by affecting the number of additional visits.

Objectives: To assess the effect of different antibiotic treatments for tonsillitis on the number of additional primary physician visits and the development of infectious or inflammatory sequels. Read More

Infect Drug Resist 2022 31;15:2763-2771. Epub 2022 May 31.

Department of Clinical Infectious Diseases, Aichi Medical University Hospital, Nagakute, Aichi, 480-1195, Japan.

Although is a commensal microorganism of the oral cavity, it may sometimes cause severe systemic infections. We report a case of Lemierre syndrome (LS), which developed after infection, in a 73-year-old Japanese woman who was admitted to the hospital for throat pain, neck swelling, and fever for 3 days. She had a 3-month history of neglected dental caries, gingivitis, and periodontitis. Read More

Children (Basel) 2022 Apr 26;9(5). Epub 2022 Apr 26.

Università degli Studi di Milano, 20122 Milan, Italy.

Deep neck infections (DNIs) include all the infections sited in the potential spaces and fascial planes of the neck within the limits of the deep layer of the cervical fascia. Parapharyngeal and retropharyngeal infections leading to parapharyngeal abscess (PPA) and retropharyngeal abscess (RPA) are the most common. DNIs remain an important health problem, especially in children. Read More

Clin Case Rep 2022 May 20;10(5):e05901. Epub 2022 May 20.

Otolaryngology Head & Neck Surgery King Abdullah Specialized Children Hospital King Abdulaziz Medical City National Guard Health Affairs Riyadh Saudi Arabia.

Augmentation pharyngoplasty, in which tissue filler or grafts are used to augment the posterior nasopharynx, is an accepted option to treat velopharyngeal insufficiency. It is generally well tolerated and safe with limited side effects. In this study, we describe a case of a retropharyngeal abscess and Grisel syndrome following hyaluronic acid augmentation pharyngoplasty. Read More

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022 Apr;57(4):405-412

Am J Emerg Med 2022 Jun 19;56:244-253. Epub 2022 Feb 19.

Department of Emergency Medicine, Virginia Commonwealth University, Box 980401, Richmond, VA, 23298-0401, United States of America.

Physicians routinely treat sick children in the emergency department (ED). Many relevant articles on pediatric medicine are published in journals that are not typically read by many general emergency medicine physicians. We reviewed salient pediatric emergency medicine literature from the past year and identified ten impactful articles for general emergency physicians. Read More

Cureus 2022 Mar 18;14(3):e23306. Epub 2022 Mar 18.

Emergency Medicine, Allegheny Health Network, Saint Vincent Hospital, Erie, USA.

Acute pharyngitis is a common complaint in emergency department (ED), urgent care, and primary care settings. Most cases are due to bacterial or viral infections easily treated with antibiotics or supportive care. However, serious pathologies in the pharyngitis differential include Ludwig's angina, peritonsillar abscess, retropharyngeal abscess, and bacterial tracheitis. Read More

Ann Otol Rhinol Laryngol 2022 Apr 21:34894221086993. Epub 2022 Apr 21.

Department of Otolaryngology, Head and Neck Surgery, West Virginia University, Morgantown, WV, USA.

Objective: Anterior cervical discectomy and fusion is a common procedure performed by spine surgeons with rare complications and high treatment success. Late presentation of retropharyngeal abscess in patients with a history of anterior cervical discectomy and fusion is rare but can have devastating consequences. There is a paucity of data to guide medical and surgical management of retropharyngeal abscess in these patients. Read More

Cureus 2022 Mar 9;14(3):e22991. Epub 2022 Mar 9.

Otolaryngology, Hospital de Especialidades No. 2 Instituto Mexicano del Seguro Social (IMSS), Ciudad Obregón, MEX.

Skull base osteomyelitis (SBO) is a life-threatening condition in patients with underlying comorbidities. Ear infections may spread through normal skull base fissures in this group of patients. However, its diagnosis is frequently delayed due to the unspecific clinical findings at onset, such as headache, with diverse cranial neuropathies later as the disease progresses. Read More

SAGE Open Med Case Rep 2022 4;10:2050313X221089119. Epub 2022 Apr 4.

Department of Otolaryngology-Head and Neck Surgery, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada.

Pharyngeal abscesses require urgent management as they have the propensity to cause severe and life-threatening complications. The introduction of antibiotics has led to a dramatic decline in the incidence of these infections. Regardless, abscess formation continues to be observed in the peritonsillar, parapharyngeal, and retropharyngeal spaces. Read More

Turk Arch Otorhinolaryngol 2021 Dec 22;59(4):292-296. Epub 2022 Feb 22.

Department of Paediatric; University Kebangsaan Malaysia Medical Center (UKMMC), Kuala Lumpur, Malaysia.

Neonatal retropharyngeal abscess (RPA) is a rare and life-threatening entity. Most of the cases are idiopathic in nature. We encountered a case of RPA in a newborn secondary to extravasation injury. Read More

Radiol Case Rep 2022 Apr 4;17(4):1228-1230. Epub 2022 Feb 4.

GH Nord Essonne: Groupement Hospitalier Nord Essonne Longjumeau, FRANCE.

Calcific tendinitis of the longus colli is an uncommon disease with unknown incidence, caused by the deposit of calcium hydroxyapatite in the superior oblique tendon of the longus colli. We report a case of A 57-year-old woman with a history of a thyroglossal cyst, presented in the emergency department with severe neck pain, odynophagia, and a biological inflammatory syndrome. The CT scan showed calcifications in the longus colli muscle (LCM) in front of the C1-C2 level with poorly defined margins, a thickening of the prevertebral soft tissue measured at 15 mm, with no evidence of abscess formation. Read More

BMJ Case Rep 2022 Mar 2;15(3). Epub 2022 Mar 2.

Otolaryngology, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, UK.

Clin Pract Cases Emerg Med 2022 Feb;6(1):45-48

University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama.

Introduction: Necrotizing mediastinitis is a rare complication following a dental procedure. It is frequently lethal and requires prompt diagnosis with advanced imaging, administration of broad-spectrum antimicrobials, and early surgical consultation.

Case Report: A 19-year-old, otherwise healthy male presented to the emergency department with chest pain, muffled voice, and facial and neck swelling six days following dental extraction. Read More

Cureus 2022 Jan 17;14(1):e21336. Epub 2022 Jan 17.

Emergency Medicine, University of Central Florida College of Medicine, Orlando, USA.

A retropharyngeal abscess (RPA) is a deep neck space infection that can present with subtle symptoms. Although it is an uncommon diagnosis, an RPA can be life-threatening as it can result in airway compromise if not treated promptly. In this article, we report a case of a 21-month-old infant with a retropharyngeal abscess that required prompt recognition and treatment. Read More

Pediatr Radiol 2022 05 20;52(6):1158-1166. Epub 2022 Feb 20.

Diagnostic Radiology, University of Turku, Kiinamyllynkatu 4-8, 20520, Turku, Finland.

Background: Differences in the functioning of the immune system and the anatomical proportions of the neck between children and adults lead to different manifestations of deep neck infections. Magnetic resonance imaging (MRI) may serve as an alternative to computed tomography (CT) as the primary imaging modality.

Objective: To study characteristic MRI findings and the diagnostic accuracy of MRI in pediatric deep neck infections. Read More

Am J Otolaryngol 2022 Mar-Apr;43(2):103390. Epub 2022 Feb 3.

Department of Otorhinolaryngology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. Electronic address:

Purpose: To explore the diagnostic approach and therapeutic method of migratory pharyngeal foreign bodies and related complications, to improve the understanding of such disease and to reduce misdiagnosis and missed diagnosis.

Material And Methods: A retrospective study was performed by collecting patients who were treated because of the related complications caused by migratory pharyngeal foreign bodies from 2012 to 2020.

Results: A total of 20 patients were admitted to hospital due to the related complications. Read More

N Am Spine Soc J 2021 Mar 12;5:100052. Epub 2021 Feb 12.

Department of Neurosurgery, Seoul St. Mary's Hospital, Spine Center, College of medicine, The Catholic University of Korea, Seoul, South Korea.

Background: A long-span ventral cervical epidural abscess is a rare and devastating condition. Typically, extensive procedures are chosen to deal with this condition and usually end up with limited cervical motion. Here, we describe a novel minimally invasive anterior full-endoscopic transcorporeal approach for drainage of large ventral cervical epidural abscess. Read More

Cureus 2021 Dec 27;13(12):e20754. Epub 2021 Dec 27.

Emergency Medicine, Madigan Army Medical Center, Tacoma, USA.

Anterior cervical corpectomy, discectomy, and fusion are common surgical management options for symptomatic cervical radiculopathy and myelopathy. While these procedures are common and well-tolerated, postoperative complications span from mild dysphasia to airway compromise secondary to retropharyngeal or peri-cervical space abscess. These critical patients require robust airway management, which may entail a multidisciplinary approach or airway management in the operating room. Read More

Jpn J Infect Dis 2022 Jan 31. Epub 2022 Jan 31.

Division of Infectious Diseases, Department of Medical Subspecialities, National Center for Child Health and Development, Japan.

We describe a domestic case of retropharyngeal abscess (RFA) in a child caused by a community-acquired Methicillin-resistant Staphylococcus aureus (CA-MRSA) isolate that was genetically proven to be USA300 clone (ST8-SCCmec IVa- Panton-Valentine leukocidin (PVL )). USA300 generally has a PVL gene, epidemiologic association with severe and recurrent skin and soft tissue infection, and is the leading cause of RPA in the United States. A 1-year-old previously healthy girl visited the emergency department for fever, sore throat, and refusal to move her neck. Read More

Am J Emerg Med 2022 Mar 10;53:140-143. Epub 2022 Jan 10.

Division of Emergency Medicine, Children's National Health System, Washington, D.C, United States of America; Department of Pediatrics and Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington, D.C, United States of America.

Objectives: To describe the use of computed tomography (CT) and ultrasound (US) imaging for the evaluation of neck infections in pediatric patients in United States emergency departments (EDs).

Methods: This is a cross-sectional analysis, using the National Emergency Department Sample database, of pediatric patients evaluated for common neck infections between 2012 and 2018. We used bivariable analysis to assess for differences in US and CT use by ED type. Read More

J Surg Case Rep 2022 Jan 11;2022(1):rjab569. Epub 2022 Jan 11.

Department of Otorhinolaryngology, Queen's Medical Centre, Nottingham, UK.

A 75-year-old healthy male reported odynophagia and severe neck pain with radiation to chest and shoulders. Cardiac causes were excluded. After re-presenting with dysphonia and complete dysphagia, he was treated for supraglottitis. Read More

Unfallchirurg 2022 Jan 13. Epub 2022 Jan 13.

Fakultät für Medizin, Klinikum rechts der Isar, Klinik und Poliklinik für Unfallchirurgie, Technische Universität München, Ismaninger Str 22, 81675, München, Deutschland.

Atraumatic neck pain is a frequent reason for patients to attend the emergency department (ED). It remains a challenge for the treating physician to rule out possible life-threatening causes, such as a retropharyngeal abscess, meningitis or septic spondylodiscitis. Herein, we report the rare case of a patient suffering from retropharyngeal tendinitis. Read More

Vestn Otorinolaringol 2021 ;86(6):62-68

Morozovskaya Children's City Clinical Hospital, Moscow, Russia.

Parapharyngeal and retropharyngeal abscesses (PPA) in children are a rare pathology, for the diagnosis of which it is necessary to use additional instrumental examination methods. The tactics of treating patients remains a subject of discussion.

Objective: To analyze the features of the clinic, diagnosis and treatment of PPA in children. Read More

Otolaryngol Case Rep 2021 Sep 14;20:100312. Epub 2021 May 14.

Department of Pathology and Laboratory Medicine, University of Texas Health Science Center at San Antonio, Texas, USA.

The coronavirus disease 2019 (COVID-19) pandemic has generated many challenges for physicians, including multiple long-term effects that are still being studied. We report a CASE of patient who developed a retropharyngeal abscess post-COVID19 infection. We report a CASE of a female who was diagnosed with COVID19 pneumonia and hospitalized for a week at an outside institute. Read More

Arch Pediatr 2022 Feb 23;29(2):128-132. Epub 2021 Dec 23.

Department of Pediatrics, University Hospital Arnaud de Villeneuve, University of Montpellier, France; Pathogenesis and Control of Chronic Infections, INSERM, University of Montpellier, Montpellier, France.

Objectives: The aim of our study was to describe clinical presentations, bacteriological results, and therapeutic management in a pediatric population presenting with acute pharyngeal suppuration. A further aim was to identify clinical, bacteriological, and radiological predictors of success associated with exclusive medical treatment.

Method: A retrospective study was carried out including patients under 18 years of age hospitalized between January 1, 2015 and December 31, 2017 in our center for acute pharyngeal suppuration. Read More

AJNR Am J Neuroradiol 2022 02 16;43(2):286-291. Epub 2021 Dec 16.

From the Departments of Radiology (J. Heikkinen, J.N., T.H., M.N., K.M., J. Hirvonen)

Background And Purpose: Previous literature is vague on the prevalence and exact nature of abscesses in tonsillar infections, ranging from intratonsillar and peritonsillar collections to deep extension involving the parapharyngeal and retropharyngeal spaces. MR imaging has excellent diagnostic accuracy in detecting neck infections and can potentially clarify this issue. We sought to characterize the spectrum of MR imaging findings regarding tonsillar infections. Read More

Indian J Otolaryngol Head Neck Surg 2021 Nov 19:1-4. Epub 2021 Nov 19.

MCV ENT Centre, Coimbatore, Tamil Nadu India.

The coronavirus disease 2019 (COVID-19) pandemic has generated many challenges for physicians, including multiple post-covid long-term effects that are still being studied. We report a case of patient who developed a retropharyngeal abscess with a concomitant viral pneumonia resembling Covid and its management. Read More

Kathmandu Univ Med J (KUMJ) 2021 Jan.-Mar;19(73):57-61

Department of Otorhinolaryngology and Head and Neck Surgery, Dhulikhel Hospital, Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal.

Background Deep neck infections are severe infections in potential spaces and fascial planes of the neck. Despite antibiotic therapy, these infections continue to cause significant morbidity and mortality. Objective To determine the clinical features, predisposing factors, socio demographic factors and complications associated with deep neck infections. Read More

Eur Arch Otorhinolaryngol 2022 May 22;279(5):2671-2678. Epub 2021 Nov 22.

Doncaster Royal Infirmary, Doncaster, UK.

Purpose: To report changes in adult hospital admission rates for acute ENT infections following the introduction of COVID-19-related physical interventions such as hand washing, use of face masks and social distancing of 2-m in the United Kingdom.

Methods: Retrospective cohort study comparing adult admissions with acute tonsillitis, peritonsillar abscess, epiglottitis, glandular fever, peri-orbital cellulitis, acute otitis media, acute mastoiditis, retropharyngeal abscess and parapharyngeal abscess in the 1-year period after the introduction of COVID-related physical interventions (2020-2021) with a 1-year period before this (2019-2020) in three UK secondary care ENT departments.

Results: In total, there were significantly fewer admissions for ENT infections (n = 1073, 57. Read More