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Medical Encyclopedia |
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Definition Return to top
Retropharyngeal abscess is a collection of pus in the tissues in the back of the throat. It is a potentially life-threatening medical condition.
See also: Peritonsillar abscess
Causes Return to top
Retropharyngeal abscess generally affects children under age 5, but it can occur at any age.
Infected material (pus) builds up in the space around the tissues at the back of the throat. This can occur during or immediately after a throat infection.
Symptoms Return to top
Exams and Tests Return to top
The health care provider will perform a physical exam and look inside the throat. The doctor or nurse may gently rub the back of the throat with a cotton swab, so that a sample of tissue can be more closely examined. This is called a throat culture.
Other tests may include:
Treatment Return to top
Surgery is needed to drain the infected area. Corticosteroids are sometimes given to reduce airway swelling. High-dose antibiotics are given through a vein (intravenous) to treat the infection.
The airway will be protected so that it does not become completely blocked by the swelling.
Outlook (Prognosis) Return to top
It is important to get immediate medical help. This condition can lead to blockage of the airway, which can be life-threatening. With prompt treatment, you can make a full recovery.
Possible Complications Return to top
This list may not include all types of complications.
When to Contact a Medical Professional Return to top
Call your health care provider if you or your child develops a high fever with severe throat pain.
Seek immediate medical help if you have:
Prevention Return to top
Prompt diagnosis and treatment of pharyngitis or upper respiratory infections will generally prevent retropharyngeal abscess.
References Return to top
Cummings CW, Flint PW, Haughey BH, et al. Otolaryngology: Head & Neck Surgery. 4th ed. St Louis, Mo; Mosby; 2005:4365-4367.
Marx J. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 6th ed. St. Louis, Mo: Mosby; 2006:1120-1121.
Update Date: 10/10/2008 Updated by: Alan Lipkin, MD, Otolaryngologist, Private Practice, Denver, Colorado. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
