Int Arch Otorhinolaryngol 2014; 18 - a2196
DOI: 10.1055/s-0034-1388858

A Case Report: Bilateral Cervical Abscess in a Child of 8 Months

Paulo Tinoco 1, Aline Araujo Saraiva 1, Gabryela Moreira Vilete de Oliveira 1, Jose Carlos Oliveira Pereira 1, Lara Bonani de Almeida Brito 1, Pilar Campos Saavedra 1
  • 1Hospital São José do Avaí

Introduction: Neck abscesses are complications of deep infections that, when mishandled, can progress rapidly and result in respiratory failure, venous thrombosis, septic shock, mediastinitis. In children, upper airway infections and tonsillitis are the source of most cervical abscesses. The diagnosis is based on history and physical examination, aided by ultrasonography and computed tomography. Antibiotic therapy alone, most often, is insufficient for the treatment of cervical abscess, surgical drainage was required.

Objective: This study aims to report a case of bilateral cervical abscess in a child of 8 months.

Case Report: An 8-month-old patient was born in Itaperuna. The mother reported that a week ago the children had productive cough with a yellowish sputum and difficulty in feeding. She was treated with amoxicillin. On the 5th day of antibiotics, the child developed pain, hyperemia, and edema on the left side of the neck being transferred to the HSJA. On admission, the patient had fever, poor general condition, edema, and bilateral cervical hyperemia with neck trouble mobilization and important leukocytosis. Otolaryngology team requested ultrasonography of the neck, which showed bilateral cervical abscess. Intravenous antibiotic therapy was started, and the child was referred to the operating room for bilateral surgical drainage. She improved clinically and remains hospitalized until completing antibiotic therapy.

Conclusion: Despite antibiotic therapy, cervical abscesses are still frequent complications in otorhinolaringology and can cause high morbidity. The clinical diagnosis is not always easy, so additional tests may be necessary. The treatment is clinical-surgical.

Keywords: bilateral, abscess cervical, neck.