11) We found an interesting case report in the literature about parapharyngeal abscess
(PPA)-like lesion in a 3 years old boy in Asia.
She was investigated for retropharyngeal and parapharyngeal abscess
, granulomatosis with polyangiitis, tuberculosis and thyroiditis but finally concluded as Lemierre's syndrome based on the findings of thrombosis of the deep neck veins following respiratory tract infection, septic pulmonary emboli and clinical recovery with antibiotics and supportive care.
In this clinical study of 40 patients with deep neck space infections, the commonest was the parapharyngeal abscess
The third visit led to an inpatient admission with administration of intravenous antibiotics and steroids for a suspected parapharyngeal abscess
This showed a small right parapharyngeal abscess
, thrombosis of the right internal jugular vein (Figure 1), and multiple peripheral lung nodules, expression of septic embolization (Figures 2(a), 2(b), and 2(c)).
Temporal bone fibrous dysplasia and cholesteatoma leading to the development of a parapharyngeal abscess
The incidence of parapharyngeal abscess
has reduced dramatically, with the evolution of antibiotics.
9) Diabetes is the most common systemic condition predisposing one to parapharyngeal abscess
Table 2: Diagnosis Vs Gender Diagnosis Male % Female % Ludwig's angina 35 52% 4 22% Peritonsillar abscess 8 12% 0 Parotid abscess 11 16% 6 33% Parapharyngeal abscess
3 4% 7 39% Retro Pharyngeal abscess 6 9% 1 6% Necrotizing fasciitis 4 6% 0
In view of the size and position of the mass, urgent computed tomography (CT) of the neck was obtained in order to exclude a parapharyngeal abscess