Acute tonsillitis complicated by retropharyngeal and thyroid abscess infected with de-repressed beta lactamase Citrobacter mutans.
An unusual presentation of acute tonsillitis complicated by retropharyngeal and thyroid abscess is reported. Spontaneous rupture of retropharyngeal abscess resulted in necrotic fistulae between the pharyngeal wall and the retropharyngeal space.
Department of ENT, Royal Gwent Hospital, Newport, Gwent, UK.
S
S
Maini
M J
MJ
Brown
O
O
Ali
S
S
Davies
K M
KM
Al Shafi
D000208:Acute Disease; D000328:Adult; D016971:Citrobacter freundii / Q000187:drug effects*; D004756:Enterobacteriaceae Infections / Q000150:complications* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D010608:Pharyngeal Diseases / Q000209:etiology; D016156:Respiratory Tract Fistula / Q000209:etiology; D017703:Retropharyngeal Abscess / Q000000981:diagnostic imaging / Q000209:etiology*; D012422:Rupture, Spontaneous; D013969:Thyroiditis, Suppurative / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014069:Tonsillitis / Q000150:complications* / Q000000981:diagnostic imaging; D018440:beta-Lactam Resistance