Uterine abscess (code for ICD-10 J39.0) in childhood begins to develop after the appearance of an infection in the body. First, it can manifest itself in the form of rhinitis and not present much discomfort. Then it affects the surrounding lymph nodes and gets into them in the retropharyngeal space, where it causes an abscess.
An abscess can develop in children against the background of the following infectious diseases:
In adults, the retropharyngeal abscess most oftenis formed on the background of a nasopharynx injury, for example, when the bone is pricked into the nasopharynx, while examining the internal organs through the mouth or during its burn. Also, this condition can be caused in adults by the complication of angina. The causes of retropharyngeal throat abscess in adults can be tuberculosis or syphilis. This is due to a violation of the microflora of the nasopharynx and the body as a whole.
According to statistics, patients with chronicInfectious diseases suffer from an abscessed abscess more often than with a simple course of the disease. Reduced immunity, diabetes, swelling, or HIV can also lead to the development of this pathology.
Symptoms of abscess are listed below:
Against the background of other infectious diseases that are present in the patient, the symptoms of the retropharyngeal abscess in adults are manifested by a sharp deterioration in the state of health.
Children have an inexplicable sense of anxiety, which leads to sleep problems and impaired appetite.
In newborns, this disease can cause sleep disturbances.
The earliest symptom of the retropharyngeal abscess isadults is the appearance of sore throat, which is worse when swallowing water or food. This pain is sometimes so severe that patients are forced to refrain from frequent meals. There is a change in the voice, more often than not, it becomes hoarse. If the abscess is in the upper or lower part of the nasopharynx, then the patient's nasal congestion is observed.
If the abscess is large, the patient mayto show attacks of suffocation. These attacks appear most often standing, since in this state pus begins to drain down and begins to interfere with the passage of air. With an abscess, swollen lymph nodes. If the pharyngeal abscess in children caused swelling of the surrounding tissues, then there may be a swelling of the neck.
The pharyngeal abscess can be classified according to where it is located, on the following types:
The pharyngeal abscess is classified according to the form of the flow into the following species:
Complications of the retropharyngeal abscess occur due to the spread of infection. Especially dangerous is the movement along the upper respiratory tract.
If the infection has spread and settled on the bronchi, this is the cause of bronchopneumonia.
During the spread of infection, there is a disruption of the lungs, which causes the development of pneumonia in them.
Also, the infection can spread into the cavity of the skull, which leads to the development of cerebral abscess or meningitis.
A serious complication is suffocation.It occurs due to overlapping of the airways due to the presence of pronounced edema of the larynx at the site of the abscess rupture. During the manifestation of such attacks, the work of the heart can be reflexively broken up to the stopping of the cardiac activity.
A serious complication is the rupture of the abscess, soas during this time there is a flow of pus on the walls of the pharynx. It can infect large vessels, which can cause bleeding or blood clots. This pus can seep into the mediastinal region, where it can cause the development of purulent mediastinitis, which is the cause of sepsis.
Diagnosis of the abscess abscess is carried outa doctor-otolaryngologist (loroma) by interviewing a patient and a comprehensive clinical examination. The purpose of the survey is to study the nature and duration of complaints, and on the basis of this - clarification of the underlying disease, finding out what caused the formation of the abscess. For diagnosis in children, information about the nature of the first symptoms and the general state of immunity is specified in the parents.
After this, the doctor moves on to an integrateda clinical study that consists of examining a patient to identify specific signs of an inflammatory process of an infectious nature, such as reddening of the pharyngeal mucosa, tenderness of the site upon palpation, and enlargement of the lymph nodes.
For visual examination of the mucosa posteriorthe pharyngeal wall and the detection of abscesses of the lower and upper parts of the pharyngoscopy. General and biochemical analysis of blood will help to clarify the severity of inflammation and on the basis of this form an objective treatment.
Identify the pathogenic microflora in the mucosa will helpbacterioscopy and bacteriological study, the biomaterial for which will serve as a smear from the mucous membrane of the pharynx. To identify the presence and localization of the abscess, as well as the degree of dissemination of the purulent process, modern research methods such as CT and MRI are used.
Autopsy of the retropharyngeal (abscess) is performed in several ways.
In purulent clusters associated with the ear, in addition to opening, surgical treatment of the ear is performed.
Drug treatment of the abscess abscess consists in the use of antibiotics. Currently, the following groups are used:
The mechanism of cephalosporins blocks the renewal of the cellular structure of microbes, which completely destroys them. Depending on the representative, they can be administered intravenously or intramuscularly.
Cephalosporins are prescribed for children at any age. But their safety in children under 6 months is not proven.
Macrolides block the ribosomes in the bacterium, which slows down their growth. Macrolides are most often taken internally.
Lincosamides block the renewal of proteinstructure in bacteria, which slows down their division and growth. Depending on the representative, the lincosamides can be administered intravenously or intramuscularly. Some of these drugs can reduce the bioavailability of the food.
In combination with antibiotics can be usedanti-inflammatory and antipyretic agents. But they should be used only as a last resort, since they are capable of causing oppression and so of weakened immunity.
Treatment with folk remedies most oftenis performed to reduce the symptoms of the throat abscess and stop the development of inflammation. Cure the retropharyngeal abscess with folk remedies is not possible. This is due to the fact that this disease has an infectious origin.
Folk remedies include rinsing the throat with the following solutions and decoctions:
Timely diagnosis and detectionOphthalmic abscess will cure it without any problems. According to statistics, if complications are not prevented, the timely opening of the abscess in most cases will completely eliminate it without the appearance of dangerous consequences. If the treatment was not taken immediately and as a result of this, complications appeared, then in this case the prognosis is quite negative up to a lethal outcome.
To prevent the development of an abscessed abscess, the following measures should be taken:
During endoscopic examinations, avoid traumatizing the throat. If all the same it happened, then take measures on antibacterial treatment.
General additional measures for the prevention of retropharyngeal abscess:
