Retropharyngeal Abscess as an Uncommon Cause of Torticollis in a Child

Anura Aman, Nik Mohd Syukra Nik Abd Ghani, A. Mohamad, S. Yusuf, Khairul Azhar M. Rajet, I. Mohamad
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Abstract

Torticollis is a clinical manifestation of musculoskeletal pathologies and it is often underestimated as the first symptom of an infection of the retropharyngeal space. It accounts for about one-fourth of retropharyngeal abscess (RPA) presentations in children. Early imaging studies may help to get the diagnosis of RPA and to offer prompt surgical intervention to avoid complications such as upper airway obstruction. Thus, torticollis should not be only treated symptomatically without the exclusion of serious retropharyngeal abscess because a delay in the definitive diagnosis and implementation of adequate therapy may be fatal.
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咽后脓肿是儿童斜颈的罕见病因
斜颈是肌肉骨骼病理的临床表现,通常被低估为咽后间隙感染的第一症状。它占约四分之一的咽后脓肿(RPA)的表现在儿童。早期影像学检查有助于RPA的诊断,并及时提供手术干预,以避免并发症,如上气道阻塞。因此,斜颈不应该仅仅对症治疗而不排除严重的咽后脓肿,因为在明确诊断和实施适当治疗方面的延误可能是致命的。
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