OCCUPATIONAL ABSCESS (pharyngoscopy):
characteristic rounded protrusion of the mucous membrane of the posterior pharyngeal wall (spatula to the right under the abscess).
(abscessus retropharyngeales) -suppuration of lymph nodes and cellulose of the pharyngeal space with the formation of a purulent cavity. Observedmore often in debilitated childrensometimes in adults.
ETIOLOGY AND PATHOGENESIS.The cause is an infection, the source of which in young children are diseases of the nasopharynx and ear or common infections - adenovirus, measles, scarlet fever, flu, and in older children - caries of teeth, injury to the pharyngeal wall with subsequent infection. Abscessthe pharyngeal may be acute, subacute and chronic.
CLINICAL MANIFESTATIONS. The temperature rises to 38-39C, pain when swallowing, which is manifested by anxiety, crying, crying, sleep disturbances and failure of the chest. Breathing deteriorates in a vertical or horizontal position of the child - depending on the location of the abscess in older children, speech is slurred, with a nasal touch (the so-called duck quack). Swelling of the lymph nodes at the angle of the lower jaw.Head rejected to abscess. For acute abscess - 10-14 days.
DIAGNOSIS. When pharyngoscopy revealed hyperemia of the posterior pharyngeal wall; there is a protrusion (usually on one half of the pharynx) of a round or oval shape. The place of fluctuation is revealed by finger research. The shift of the leukocyte blood count to the left, accelerated ESR (50 mm / h).
TREATMENTdepends on the clinical course. In the infiltration stage, intramuscular administration of antibiotics is indicated. In the presence of pus - an opening of an abscess with simultaneous suction of pus with the help of an electric pump. Conduct antibiotic, sulfonamide and detoxification therapy.