Toader Miorița 1, Kouris Camelia Elena 2, Negulescu Cristina 2, Vasile Ana-Maria 2, Popa Florica 2, Luminos Monica Luminița 2, 3
1 Pediatric Emergency Clinical Hospital “Grigore Alexandrescu” Bucharest
2 National Institute of Infectious Diseases “Matei Balș” Bucharest
3 Carol Davila University of Medicine and Pharmacy, Bucharest
Abstract
Deep neck infections are part of a group of pathologies with descending incidence due to the advances made in profilaxy and antimicrobial treatment methods. Because of the serious complications that these infections can provoke, early diagnosis and treatment are necessary. In the pediatric patients, the most frequent mechanism is direct extension of a superior respiratory tract infection via lymfathic nodes. Rouviere retropharyngeal node group must receive special attention because this is the primary drainage station for nasopharynx, important in tumoral and infectious extension. Fast treatment is necessary and a multidisciplinary team is often needed (pediatrician, infectionist, pediatric ENT and radiology doctors). We present the case of a 1 year and 3 months old male patient admitted for Pharyngeal adenophlegmon that resulted from a Superior Tract Infection (probably Acute pharyngitis). Broad spectrum antibiotic therapy and surgical drainge led to a sequel-free evolution.
