Pharmapedia Pro
Paediatric Medicine

Acute Uvulitis

Not yet clinically reviewed

This protocol was migrated from the earlier Pharmapedia and Ward Guide apps for educational use. Follow your hospital's own policies and consult seniors when in doubt.

Etiology

Gp A Streptococcal in >5 year age group

  • H.influenzae in <5 years of age.

Clinical Features

Throat pain, drooling of saliva, fever.

Treatment

Penicillin 1 lakh unit/kg/d OR

  • Chloramphenicol 50 mg/kg/d × 5-7 days.

Retropharyngeal Abscess

Develops in the space between prevertebral fascia and posterior pharyngeal wall.

Clinical Features

Abrupt onset with high fever, feeding problems and refusal to feed, dysphagia, neck kept in extension.

On Examination

A bulge on the posterior pharyngeal wall.

Investigation X-ray of neck lateral view: Reveals a retropharyngeal mass

Treatment

In the prefluctuant stage:

  1. Penicillin 1 lakh unit/kg/d OR
  2. Ampicillin + Sulbactum In fluctuant stage: Incision and drainage under GA and antibiotics.