Retropharyngeal Abscess

    A retropharyngeal abscess means you have pus in the tissue at the back of your throat. This often occurs during or after a throat infection. This type of abscess mostly occurs in children under five. However, it can occur at any age. A retropharyngeal abscess can be life-threatening if it blocks the passage of air to the lungs.

    Signs and Symptoms of Retropharyngeal Abscess

    The signs and symptoms of retropharyngeal abscess are:

    • difficulty breathing
    • difficulty swallowing
    • drooling
    • fever
    • severe throat pain
    • stridor (a high-pitched wheezing during inhalation)
    • muscle spasms around the ribs when breathing

    Call your doctor immediately if you suspect that you or your child may have a retropharyngeal abscess.

    Examination for Retropharyngeal Abscess

    Your doctor will examine your throat and check your breathing. He or she may also perform the following tests:

    • throat culture
    • complete blood count (CBC)
    • X-ray
    • computed tomography (CT) scan

    Treatment of Retropharyngeal Abscess

    Treatment of the abscess may involve surgery to drain it and to prevent the airway from becoming blocked. Your doctor will also likely prescribe corticosteroids to decrease the inflammation and swelling. He or she may also administer intravenous (IV) high-dose antibiotics to fight the infection.

    Potential Complications of Retropharyngeal Abscess

    In some instances, there may be complications from a retropharyngeal abscess, including:

    • blocked airway
    • aspiration of a foreign object (usually food) into the airway or lungs
    • mediastinitis (inflammation of the space and tissue between the lungs)
    • osteomyelitis (bone infection)

    With immediate care, you can avoid these complications and recover fully from a retropharyngeal abscess.

    Prevention of Retropharyngeal Abscess

    Proper medical treatment of any upper respiratory infections will prevent the development of a retropharyngeal abscess.