CASE REPORT
Mediastinitis and retropharyngeal abscess following delayed diagnosis of glass ingestion
Birmingham Childrens Hospital, Birmingham, UK
Correspondence to:
Correspondence to:
Dr J Allotey
c/o Dr H Duncan, Birmingham Childrens Hospital, Stealhouse Lane, Birmingham B4 5NH, UK; jayallotey{at}aol.com
Foreign body ingestion is a common occurrence in childhood. We report the outcome of an infant who swallowed a piece of glass. The absence of a foreign body on chest radiograph led to delayed diagnosis and then to the well documented complications of retropharyngeal abscess and mediastinitis. She was admitted to the paediatric intensive care unit a week after her initial presentation, subjected to multiple invasive and non-invasive procedures, and 6 weeks after her initial presentation to the accident and emergency department, was discharged back to her referring hospital having re-established oral feeds.
Abbreviations: TPN, total parenteral nutrition; ENT, ear, nose, and throat, PICU, paediatric intensive care unit
Keywords: retropharyngeal; abscess; x ray; foreign body
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