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CASE REPORT
Year : 2019  |  Volume : 8  |  Issue : 2  |  Page : 128-130

Deep neck space infection (retropharyngeal and parapharyngeal abscesses) with upper airway obstruction in a 7-day-old neonate


1 Department of Paediatrics, Federal Medical Centre, Katsina, Katsina State, Nigeria
2 Department of Otorhinolaryngology, Federal Medical Centre, Katsina, Katsina State, Nigeria

Correspondence Address:
Dr. Olayinka Rasheed Ibrahim
Department of Paediatrics, Federal Medical Centre, Murtala Mohammed Way (Jibia Bypass), P.M.B 2121, Katsina, Katsina State
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcn.JCN_111_18

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Deep neck space infections (DNSIs) are rare in neonates. When they do occur, the infections are more aggressive than in older children and adults and can lead to life-threatening complications. Thus, a high index of suspicion is important for early diagnosis and prompt treatment. We report a rare case of DNSIs (retropharyngeal and parapharyngeal abscesses) in a 7-day-old neonate. The baby presented with fever, neck swelling, and difficulty in breathing. Plain neck radiograph showed widening of the retropharyngeal space and β-hemolytic Streptococcus was cultured from the aspirate. He was successfully managed with incision and drainage as well as broad-spectrum antibiotics (cefuroxime and metronidazole for 14 days and gentamicin for 7 days).


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