External carotid artery aneurysm in an infant presenting with oropharyngeal haemorrhage.
We report an unusual case of a mycotic external carotid artery aneurysm presenting in a nine-month-old infant. She presented with coryzal-like symptoms and oropharyngeal haemorrhage. This was thought initially to be due to acute tonsillitis. There was significant haemorrhage and reversible hypovolaemic arrest. A contrast computerised tomography scan (CT) confirmed the diagnosis of a mycotic external carotid artery aneurysm. This was subsequently successfully treated by percutaneous embolization with microcoil insertion.
Jarvis
S J
SJ
Department of Otolaryngology, The Royal Hallamshire Hospital, Sheffield, UK.
Parker
A J
AJ
D000785:Aneurysm, Infected / Q000150:complications*; D002340:Carotid Artery Diseases / Q000150:complications*; D002342:Carotid Artery, External; D005260:Female; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D007223:Infant; D009960:Oropharynx; D010608:Pharyngeal Diseases / Q000209:etiology*