Febrile torticollis in an infant: what is your diagnosis?


  • Ilham Rkain Department of Otorhinolaryngology-Head and Neck Surgery, University of Abdelmalek Essaadi, Tangier, Morocco
  • Safaa Toutimi Department of Otorhinolaryngology-Head and Neck Surgery, University of Abdelmalek Essaadi, Tangier, Morocco




Retropharyngeal abscess surgery, Pediatrics


Retropharyngeal abscess is a rare but serious infection, in children, it is often secondary to upper respiratory tract infections.We report the case of an 18-month-old infant admitted to the emergencies for acute febrile torticolis. A computed tomographic (CT) scan with contrast agent injection revealed a collection of the retropharyngeal space; management consisted of triple antibiotic therapy and transoral drainage. The evolution was made towards a clinical and biological improvement. Retropharyngeal abscess should be suspected in front of dysphagia, cervical stiffness associated with a febrile syndrome, CT scan confirms the diagnosis and early management by intravenous antibiotic therapy whether or not combining surgical drainage, which remains a subject of discussion. Early diagnosis and management help to avoid life-threatening complications.


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Vinckenbosch P, Guilcher P, Lambercy K, Richard C. Abcès rétropharyngé de l’enfant [Retropharyngeal abscess in children]. Rev Med Suisse. 2017;13(577):1698-702.

Aderdour L, Hassani R, Nejmi H, Elfakiri MM, Maliki O, Droussi H, et al. Abcès rétropharyngé révélateur d'un diabète: à propos d'un cas [Retropharyngeal abscess revealing diabetes: a case report]. Ann Endocrinol (Paris). 2008;69(6):526-9.

Goldenberg D, Golz A, Joachims HZ. Retropharyngeal abscess: a clinical review. J Laryngol Otol. 1997;111(6):546-50.

Dufour X, Gohler C, Bedier A, Ferrie JC, Oriot D, Fontanel JP, et al. Abcès rétro- et latéropharyngés chez l’enfantRetropharyngeal and Lateral Pharyngeal Abscesses in Children. Ann Otolaryngol Chir Cervicofac. 2004;121(6):327-33.

Benhammou A, Bencheikh R, Benbouzid MA, Boulaich M, Essakali L. Cervical Pott’s disease revealed by retropharyngeal abscesses. Rev Stomatol Chir Maxillofac. 2007;108:543-6.

Coulthard M, Isaacs D. Retropharyngeal abscess. Arch Dis Child. 1991;66:1227-30.






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