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Pharyngeal abscess


Clinical picture
The pharyngeal abscess is a purulent fusion of the lymph nodes and loose fiber 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 can be tooth decay, purulent inflammation of the middle ear, mastoiditis, 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, which is accompanied by nasal congestion in older children and adults.
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).
Urgent care
With acute development of the pharyngeal abscess, an autopsy is indicated. At the same time, intramuscular injections of antibiotics are prescribed, sulfa drugs, antipyretic and hyposensitizing agents.
Abscess Opening Technique
An abscess is produced through the mouth. Under the control of vision and crushing 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 abscess

  1. Pharyngeal and paratonsillar abscesses
    A pharyngeal abscess develops as a result of a purulent lesion of deep pharyngeal lymph nodes and loose tissue 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
  2. 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. Middle - 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
  3. 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, the epidural abscess is often accompanied by subdural empyema. Major causative agents The most common cause of
  4. Abscess
    Abscess (abscessus), abscess, abscess - a limited cavity filled with pus, formed as a result of focal purulent fusion of tissues. Etiology. The cause of abscesses is the penetration of microorganisms into tissues with damage to the skin and mucous membrane and when foreign bodies enter the tissue. They can also be introduced during medical manipulations (injections, subcutaneous infusions) made
  5. Abscess
    Physical blockage An abscess is a collection of pus in one place. Distinguish between hot and cold abscesses. With a hot abscess (it occurs much more often), pus accumulates very quickly and all four signs of inflammation appear: swelling, redness, temperature, and pain. A cold abscess is characterized by a slow accumulation of fluid in one place with no signs of inflammation. Emotional
  6. ABSCESS
    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.
  7. Abscess of the larynx
    An abscess of the larynx may be the final stage of phlegmonous laryngitis, but more often it is caused by a body injury (fish bone, etc.). An abscess occurs mainly on the lingual surface of the epiglottis or in the region of one of the arytenoid cartilages, and usually develops gradually against the background of a general inflammatory reaction of the body. Complaints boil down to pain when swallowing. 2-3 days after injury
  8. 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.
  9. 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 tympanum to 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
  10. 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, there is 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
  11. 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
  12. 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
  13. 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
  14. 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 green streptococci (S. anginosus, S. constellatus and S. intermedius), which are found in 70% of cases. IN
  15. 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 enlarge, become
  16. 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.
  17. 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 do subcutaneous abscesses occur more often in cats than in
  18. 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
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