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The pharyngeal abscess is a purulent fusion of the lymph nodes and loose tissue of the pharyngeal space. It is especially common in debilitated children under the age of 2-3 years, rarely in adults. In childhood, usually occurs after infectious diseases, acute respiratory viral infections, measles, scarlet fever. In adults, pharyngeal abscesses are of a specific nature (with tuberculous or syphilitic spondylitis of the cervical spine). The causes of a pharyngeal abscess may be tooth decay, purulent inflammation of the middle ear, mastoiditis, and trauma to the posterior pharyngeal wall. Sometimes it occurs after tonsillectomy, adenoidectomy.
It may be complicated by purulent mediastinitis. A pharyngeal abscess is acute, as a rule, but may have a subacute, latent, and chronic course. In the acute course of the disease and the localization of the abscess in the middle section of the pharynx, the earliest and leading symptom is pain when swallowing, in young children accompanied by anxiety, crying, sleep disturbance, refusal to suckle. Characterized by high body temperature - 38-39 ° C. When the abscess is located in the upper part of the pharynx, nasal breathing is difficult against the background of an increase in body temperature, accompanied in older children and in adults by nasal congestion.
A constant symptom of a pharyngeal abscess is swelling, soreness of the lymph nodes of the pharyngeal region and lateral upper cervical, as a result of which the patient assumes a forced position of the head (tilt to the sick side).
With acute development of the pharyngeal abscess, an autopsy is indicated. At the same time, intramuscular injections of antibiotics, sulfonamide drugs, antipyretic and hypersensitizing agents are prescribed.
Abscess Opening Technique
An abscess is produced through the mouth. Under the control of vision and squeezing a tongue with a spatula, a scalpel, the blade of which, except for the end wrapped with adhesive plaster, produce an injection to a depth of about 0.5 cm at the site of the greatest protrusion of the abscess. After that, the tip of the electric suction device is brought to the incision or the patient's head is quickly tilted down to prevent pus from entering the larynx and the development of asphyxiation. Chronic specific “cold” pharyngeal abscesses of a pathogenic nature are not opened to avoid secondary infection, and against the background of anti-tuberculosis or anti-syphilitic treatment, repeated punctures are performed with suction of pus and the subsequent introduction of specific medicinal solutions.
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- Pharyngeal and paratonsillar abscesses
A pharyngeal abscess develops as a result of a purulent lesion of deep pharyngeal lymph nodes and loose fiber located in the pharyngeal space. These lymph nodes are regional for the posterior sections of the nasal cavity, paranasal sinuses, auditory tube, middle ear, nasal pharynx and palatine tonsils. A pharyngeal abscess may occur in newborns, but
- Clinical anatomy and topography of the pharynx. Pharyngeal and periopharyngeal spaces
The pharynx (pharynx) is the initial section of the digestive tract and respiratory tract. Three sections are distinguished in the pharynx: 1. Upper - nasopharynx, 2. Medium - oropharynx. 3. The lower is the larynx. The nasopharynx performs a respiratory function. At the top, the nasopharynx arch is fixed to the base of the skull, behind the nasopharynx it borders on the I and II cervical vertebrae, in front are the choanas, on
- Epidural Abscess
Epidural abscess - an infectious process that develops between the bones of the skull and the outer leaf of the dura mater, may be accompanied by osteomyelitis. Due to the fact that the pathogen easily penetrates through the dura mater along the emissary veins, subdural empyema is often accompanied by an epidural abscess. Major causative agents The most common cause of
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An abscess is a limited inflammation in tissues or organs, characterized by an accumulation of pus in a newly formed cavity under a dense membrane. An abscess most often occurs after any mechanical damage to the skin (for example, due to a splinter), through which pyogenic microbes (staphylococci, streptococci, Pseudomonas aeruginosa, cryptococcus fungi, etc.) penetrate the skin, causing
- Abscess of the larynx
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- Brain Abscess
Clinic. An abscess of the brain is a limited abscess in the brain tissue - intracerebral, or epidural, subdural. Caused by streptococci, staphylococci, pneumococci, etc. Contact (otogenically determined), metastatic (pneumonia, lung abscess), bronchiectatic abscesses and abscesses occurring during open craniocerebral injuries are pathogenetically distinguished.
- Otogenic intracranial abscesses
An extradural abscess is the accumulation of pus between the dura and the bone. It occurs as a result of the spread of the inflammatory process from the mastoid process and tympanic cavity into the cranial cavity and is localized in the middle or posterior cranial fossae. An extradural abscess is usually a complication of chronic suppurative otitis media; often observed
- Paratonsillar abscess (paratonsillitis)
This disease is also called phlegmonous tonsillitis. Between the capsule of the tonsil and the pharyngeal fascia, the distance between which is normally 0.5-1 cm, is located paratonsillar tissue, and behind the pharyngeal fascia, laterally, there is fiber of the parapharyngeal space. These spaces are made of fiber, the inflammation of which, and in the final stage, and abscess formation determines the clinic
- Extradural abscess
An extradural abscess usually has a contact mechanism of occurrence. The source of infection in most cases is osteoperiostitis, a carious process located in the wall of the paranasal sinus, which can occur with their chronic inflammation (frontitis, ethmoiditis, sphenoiditis). The onset of the disease is characterized by the appearance of a limited focus of inflammation in the dura mater
- Pelvic abscesses
Abscesses of the pelvic cavity are a delimited accumulation of pus in the cystic-uterine or rectal-uterine space. Such abscesses can form with purulent-inflammatory saccular masses in the appendages, as well as in the postoperative period. In this case, the resulting adhesions delimit the accumulation of pus from the free parts of the abdominal cavity. In the beginning, an inflammatory
- ABCESS EASY
Lung abscess is a pathological process characterized by the formation of a limited cavity in the lung tissue as a result of its necrosis and purulent fusion. The main pathogens The development of lung abscess is primarily associated with the anaerobic flora - Bacteroides spp., F.nucleatum, Peptostreptococcus spp., P.niger - often in combination with enterobacteria (due to aspiration of the contents
- Brain Abscess
A brain abscess is a capsule-limited accumulation of brain detritus, white blood cells, pus, and bacteria. The main causative agents The etiological cause of brain abscess can be bacteria, fungi, protozoa and helminths. Of the bacterial pathogens, the most common are vermin streptococci (S. anginosus, S. constellatus and S. intermedius), which occur in 70% of cases. AT
- Paratonsillar abscess
The clinical picture appears as a further development of paratonsillitis due to purulent fusion of paratonsillar infiltrate. It may be complicated by bleeding, the development of mediastinitis and tonsillogenic sepsis. Sore throat is worse when swallowing and opening the mouth. Eating is difficult. Body temperature rises sharply. Maxillary lymph nodes increase, become
- Causes of the development of brain abscess
An abscess of the brain is a local accumulation of pus located in the tissue of the brain. Usually, an abscess of the brain occurs as a secondary disease, provided that there is an infectious focus located outside the central nervous system. Mandatory is the penetration of an infectious agent into the brain. At the same time, not one but several abscesses may exist.
- Abscesses and cellulitis
Tim Hackett, DVM, MS 1. What is the difference between abscess and cellulite? An abscess is a limited accumulation of pus and decay products surrounded by dense granulation tissue. Cellulite is a diffuse inflammation of the soft tissues, while the infectious process spreads along the fascial surfaces in the subcutaneous tissue. 2. Why are subcutaneous abscesses more common in cats than in
- Brain abscesses. Surgery
An abscess of the brain is a limited accumulation of pus in the substance of the brain. Most often, abscesses are intracerebral, less often epidural or subdural. Etiology and pathogenesis. The cause of brain abscess is the spread of infection caused by streptococci, staphylococci, pneumococci, meningococci. Often found Escherichia coli, Proteus, mixed flora. The way