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Life-threating complication of parapharyngeal abscess and mediastinitis in a 10-year-old otherwise healthy girl following elective tonsillectomy - first reported paediatric case

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@article{7e8dcb1d17c64a60b2f149ce1f3e6301,
title = "Life-threating complication of parapharyngeal abscess and mediastinitis in a 10-year-old otherwise healthy girl following elective tonsillectomy - first reported paediatric case",
abstract = "BACKGROUND: Parapharyngeal abscess and mediastinitis are rare but very severe post-operative complications following an elective tonsillectomy. Parapharyngeal abscess as a complication to tonsilectomy is very seldom described in the literature and no cases in the paediatric population have been described.Case reportThis paper presents, to our knowledge, the first case of life-threatening parapharyngeal abscess and mediastinitis following elective adenotonsillectomy in an otherwise healthy, fully vaccinated 10-year-old girl.CONCLUSION: Diagnosing parapharyngeal abscess and mediastinitis can be challenging, but should be suspected and ruled out in cases of post-operative odynophagia, fever, and/or neck swelling and thoracic pain. Diagnosis is made based on magnetic resonance imaging and computed tomography findings. Prompt broad-spectrum intravenous antibiotic treatment and surgical drainage should be initiated. Other severe complications such as meningitis should also be considered.",
keywords = "Anti-Bacterial Agents/therapeutic use, Child, Drainage, Elective Surgical Procedures/adverse effects, Female, Humans, Mediastinitis/diagnosis, Retropharyngeal Abscess/diagnosis, Surgical Wound Infection/diagnosis, Thoracic Surgery, Video-Assisted, Tomography, X-Ray Computed, Tonsillectomy/adverse effects",
author = "Holm-Hansen, {C C} and E Thisted and M Kaltoft",
year = "2019",
month = "2",
doi = "10.1017/S0022215119000021",
language = "English",
volume = "133",
pages = "161--163",
journal = "Mediterranean Journal of Otology",
issn = "0022-2151",
publisher = "Cambridge University Press",
number = "2",

}

RIS

TY - JOUR

T1 - Life-threating complication of parapharyngeal abscess and mediastinitis in a 10-year-old otherwise healthy girl following elective tonsillectomy - first reported paediatric case

AU - Holm-Hansen, C C

AU - Thisted, E

AU - Kaltoft, M

PY - 2019/2

Y1 - 2019/2

N2 - BACKGROUND: Parapharyngeal abscess and mediastinitis are rare but very severe post-operative complications following an elective tonsillectomy. Parapharyngeal abscess as a complication to tonsilectomy is very seldom described in the literature and no cases in the paediatric population have been described.Case reportThis paper presents, to our knowledge, the first case of life-threatening parapharyngeal abscess and mediastinitis following elective adenotonsillectomy in an otherwise healthy, fully vaccinated 10-year-old girl.CONCLUSION: Diagnosing parapharyngeal abscess and mediastinitis can be challenging, but should be suspected and ruled out in cases of post-operative odynophagia, fever, and/or neck swelling and thoracic pain. Diagnosis is made based on magnetic resonance imaging and computed tomography findings. Prompt broad-spectrum intravenous antibiotic treatment and surgical drainage should be initiated. Other severe complications such as meningitis should also be considered.

AB - BACKGROUND: Parapharyngeal abscess and mediastinitis are rare but very severe post-operative complications following an elective tonsillectomy. Parapharyngeal abscess as a complication to tonsilectomy is very seldom described in the literature and no cases in the paediatric population have been described.Case reportThis paper presents, to our knowledge, the first case of life-threatening parapharyngeal abscess and mediastinitis following elective adenotonsillectomy in an otherwise healthy, fully vaccinated 10-year-old girl.CONCLUSION: Diagnosing parapharyngeal abscess and mediastinitis can be challenging, but should be suspected and ruled out in cases of post-operative odynophagia, fever, and/or neck swelling and thoracic pain. Diagnosis is made based on magnetic resonance imaging and computed tomography findings. Prompt broad-spectrum intravenous antibiotic treatment and surgical drainage should be initiated. Other severe complications such as meningitis should also be considered.

KW - Anti-Bacterial Agents/therapeutic use

KW - Child

KW - Drainage

KW - Elective Surgical Procedures/adverse effects

KW - Female

KW - Humans

KW - Mediastinitis/diagnosis

KW - Retropharyngeal Abscess/diagnosis

KW - Surgical Wound Infection/diagnosis

KW - Thoracic Surgery, Video-Assisted

KW - Tomography, X-Ray Computed

KW - Tonsillectomy/adverse effects

U2 - 10.1017/S0022215119000021

DO - 10.1017/S0022215119000021

M3 - Journal article

VL - 133

SP - 161

EP - 163

JO - Mediterranean Journal of Otology

JF - Mediterranean Journal of Otology

SN - 0022-2151

IS - 2

ER -

ID: 58054926