Retropharyngeal abscess due to methicillin-resistant Staphylococcus aureus in a case of acute myeloid leukemia.
We describe a case of acute myeloid leukemia (AML) complicated with retropharyngeal abscess (RPA) due to methicillin-resistant Staphylococcus aureus (MRSA) in a 56-year-old man. After administration of vancomycin and lavage of the retropharyngeal space with gentamicin, complete resolution of the RPA was observed. Despite their lower frequency, deep neck infections are associated with high mortality rates. The possibility of RPA should be considered in patients who present with fever, dysphagia and limitation of neck extension. Lavage of the retropharyngeal abscess with gentamicin may be optimal in cases of large RPA.
Sato
Kazuya
K
Division of Hematology, Department of Medicine, Jichi Medical School, Tochigi.
Izumi
Tohru
T
Toshima
Masaki
M
Nagai
Tadashi
T
Muroi
Kazuo
K
Komatsu
Norio
N
Ozawa
Keiya
K
D000970:Antineoplastic Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005500:Follow-Up Studies; D006801:Humans; D007275:Injections, Intravenous; D007951:Leukemia, Myeloid / Q000150:complications* / Q000188:drug therapy; D008297:Male; D016106:Methicillin Resistance; D008875:Middle Aged; D017703:Retropharyngeal Abscess / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D013203:Staphylococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D013211:Staphylococcus aureus / Q000187:drug effects / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed; D014640:Vancomycin / Q000008:administration & dosage / Q000627:therapeutic use
D000970:Antineoplastic Agents; D014640:Vancomycin