Gas forming Necrotizing Retropharyngeal and Parapharyngeal Abscess with Mediastinal Extension Causing Supraventricular Tachycardia.
M. PAUL1, A. NAJIHAH1, K. ESHAMSOL1, Irfan MOHAMAD2
1Department of Otorhinolaryngology of Hospital Sultan Haji Ahmad Shah, 28000, Temerloh, Pahang, Malaysia.
2Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan, Malaysia.
Combination of gas forming necrotizing
retropharyngeal and parapharyngeal abscesses with mediastinal extension are
rare, especially if the condition is complicated by development of chest pain
and supraventricular tachycardia due to mediastinitis. We reported a case of a
diabetic elderly man with previously known hypertension who was initially
treated in a peripheral hospital with neck cellulitis which was complicated by
chest pain, dyspnea and supraventricular tachycardia. He recovered fully after a
series of neck surgeries and prolonged course of intravenous meropenem which was
later changed to amikacin based on sensitivity over a period of 2 months.
Keywords: Necrotizing Retropharyngeal abscess, mediastinum, mediastinitis, Supraventicular tachycardia.
Correspondence author: Dr. Mark Paul,
Department of Otorhinolaryngology of Hospital Sultan Haji Ahmad Shah, 28000, Temerloh, Pahang, Malaysia.
Brunei Int Med J. 2017; 13 (5): 169-172