Retropharyngeal Abscess

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CLINICAL FEATURES

SIGNS AND SYMPTOMS

• May cause difficulty in swallowing
• Fever
• Tenderness at the angle of the jaw
• Features of upper airway obstruction such as difficulties in breathing, stridor
• If a patient is unable to drink at all Surgical drainage is usually necessary, therefore should be referred.

TREATMENT

Adults:

• Give Amoxicillin + Clavulanic Acid 625mg 8 hourly for 14 days
• Analgesic for pain and fever

Children:

• Ceftriaxone 50mg/kg IV daily
• Adjust antibiotics as guided by culture results
• Complete 14 days of antibiotics
• Analgesic/antipyretic for pain and fever