An unusual case of neonatal stridor. | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2015]

Author(s):

1. Nilay Nirupam: Department of Pediatrics, Lady Hardinge Medical College and Associated Kalawati Saran Children`s Hospital, New Delhi, India

2. Anu Maheshwari: Department of Pediatrics, Lady Hardinge Medical College and Associated Kalawati Saran Children`s Hospital, New Delhi, India

3. T. V. Ram Kumar: Department of Pediatrics, Lady Hardinge Medical College and Associated Kalawati Saran Children`s Hospital, New Delhi, India

4. Satinder Aneja: Department of Pediatrics, Lady Hardinge Medical College and Associated Kalawati Saran Children`s Hospital, New Delhi, India

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.

Page(s): 376-377

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 25, Issue: 5, Year: 2015

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