title: An unusual case of neonatal stridor.
abstract: A25-day baby neonate presented with fever and stridor. He had severe respiratory distress at admission. The systemic examination was unremarkable. The roentgenogram of soft tissues of neck revealed widening of superior mediastinum. Computed tomography of neck and upper chest revealed multiple abscesses in the retropharyngeal space, parapharyngeal space, and superior mediastinum. The child improved on aggressive antibiotic treatment protocol. It raises awareness among paediatricians to consider this diagnosis when confronting neonate with fever and stridor. An early diagnosis and aggressive appropriate management will reduce mortality and morbidity associated with this life-threatening condition. A thorough search for a primary source of infection should be done. Neonate should be screened for primary and secondary immunodeficiency disorders before discharge.
authors.affiliation: Department of Pediatrics, Lady Hardinge Medical College and Associated Kalawati Saran Children's Hospital, New Delhi, India.
authors.forename: Nilay
authors.initials: N
authors.lastname: Nirupam
authors.affiliation: Department of Pediatrics, Lady Hardinge Medical College and Associated Kalawati Saran Children's Hospital, New Delhi, India.
authors.forename: Anu
authors.initials: A
authors.lastname: Maheshwari
authors.affiliation: Department of Pediatrics, Lady Hardinge Medical College and Associated Kalawati Saran Children's Hospital, New Delhi, India.
authors.forename: T V
authors.initials: TV
authors.lastname: Ram Kumar
authors.affiliation: Department of Pediatrics, Lady Hardinge Medical College and Associated Kalawati Saran Children's Hospital, New Delhi, India.
authors.forename: Satinder
authors.initials: S
authors.lastname: Aneja
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004322:Drainage; D005334:Fever / Q000209:etiology*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008482:Mediastinum / Q000000981:diagnostic imaging*; D009333:Neck / Q000000981:diagnostic imaging; D012135:Respiratory Sounds / Q000209:etiology*; D017703:Retropharyngeal Abscess / Q000175:diagnosis* / Q000188:drug therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents