Retropharyngeal Abscess Overview
Learn About Retropharyngeal Abscess
Retropharyngeal abscess is a collection of pus in the tissues in the back of the throat. It can be a life-threatening medical condition.
Retropharyngeal abscess most often affects children under age 5, but it can occur at any age.
Infected material (pus) builds up in the space around the tissues at the back of the throat. This can occur during or very soon after a throat infection.
Symptoms include:
- Breathing difficulty
- Difficulty swallowing
- Drooling
- High fever
- High-pitched sound when inhaling (stridor)
- Muscles between the ribs pull in when breathing (intercostal retractions)
- Severe throat pain
- Difficulty turning the head
Surgery is needed to drain the infected area. Corticosteroids are sometimes given to reduce airway swelling. High-dose antibiotics are given through a vein (intravenous) to treat the infection.
The airway will be protected so that it does not become completely blocked by the swelling.
Medical Education Assistance Corporation
. Dr. Youssef is rated as an Experienced provider by MediFind in the treatment of Retropharyngeal Abscess. Her top areas of expertise are Cellulitis, Infective Endocarditis, Lymphangitis, and Hospital-Acquired Pneumonia.
Atrium Health Anson Carolinas Primary Care Clinic
Lindsey Johnson is a primary care provider, practicing in Family Medicine in Wadesboro, North Carolina. Dr. Johnson is rated as an Experienced provider by MediFind in the treatment of Retropharyngeal Abscess. Her top areas of expertise are Hyperlipidemia Type 3, Familial Hypertension, Glucocorticoid-Remediable Aldosteronism, Hypertension, and Endoscopy. Dr. Johnson is currently accepting new patients.
Aurora ENT/Otolaryngology
Marissa Le is an Otolaryngologist in Elkhorn, Wisconsin. Dr. Le is rated as an Experienced provider by MediFind in the treatment of Retropharyngeal Abscess. Her top areas of expertise are Mikulicz Disease, Nonsyndromic Hearing Loss, Deafness Hypogonadism Syndrome, and Infant Hearing Loss.
It is important to get medical help right away. This condition can lead to blockage of the airway. This is a life-threatening medical emergency. With prompt treatment, a full recovery is expected.
Complications may include:
- Airway obstruction
- Aspiration
- Mediastinitis
- Osteomyelitis
Contact your provider if you or your child develops a high fever with severe throat pain.
Get medical help right away if you have:
- Breathing trouble
- High-pitched breathing sounds (stridor)
- Retraction of the muscles between the ribs when breathing
- Difficulty turning the head
- Difficulty swallowing
Prompt diagnosis and treatment of a sore throat or upper respiratory infection can prevent this problem.
Summary: The goal of this clinical trial is to learn if trimethoprim-sulfamethoxazole (TMP-SMX) works to treat invasive infections due to methicillin-resistant Staphylococcus aureus (MRSA) in children. It will also learn about the safety of TMP-SMX in the treatment of children with invasive MRSA infections. The main questions it aims to answer are: -Is TMP-SMX effective at successfully treating children wi...
Published Date: October 28, 2024
Published By: Ashutosh Kacker, MD, FACS, Professor of Clinical Otolaryngology, Weill Cornell Medical College, and Attending Otolaryngologist, New York-Presbyterian Hospital, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
James P, Hanna S. Upper airway obstruction in children. In: Bersten AD, Handy JM, eds. Oh's Intensive Care Manual. 8th ed. Philadelphia, PA: Elsevier; 2019:chap 106.
Pappas DE, Boggs SR. Retropharyngeal abscess, lateral pharyngeal (parapharyngeal) abscess, and peritonsillar cellulitis/abscess. In: Kliegman RM, St. Geme JW, Blum NJ, et al, eds. Nelson Textbook of Pediatrics. 22nd ed. Philadelphia, PA: Elsevier; 2025:chap 432.
Roginski MA, Atchinson PR. Upper respiratory tract infections. In: Walls RM, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 61.


