RT Journal
A1 Martinot A, Leclerc F, Remy-Jardin M, et al
T1 RAdiological cases of the month
JF American Journal of Diseases of Children
JO American Journal of Diseases of Children
YR 1989
FD October 1
VO 143
IS 10
SP 1207
OP 1208
DO 10.1001/archpedi.1989.02150220107028
UL http://dx.doi.org/10.1001/archpedi.1989.02150220107028
AB A previously healthy 12-month-old girl had a 3-day history of fever (temperature, 40°C), sore throat, dysphagia, and vomiting. Physical examination revealed 2 3-cm left cervical adenopathy and hepatosplenomegaly. No focal infection was identified.Admission chest roentgenogram was normal. White blood cell count was 12.5 × 109/L (0.52 neutrophils); Creactive protein level was elevated (294 mg/L). Cerebrospinal fluid and urinalysis findings were normal. Three blood cultures yielded Staphylococcus aureus, methicillin sodiumsusceptible.Despite antibiotic treatment with vancomycin hydrochloride, rifampin, and amikacin sulfate, she remained febrile with positive blood cultures for days. There was no dyspnea or dysphagia. On the third day after admission, a chest roentgenogram was abnormal (Fig 1). A left posterior oblique chest roentgenogram (Fig 2) and lateral neck roentgenogram (Fig 3) with barium swallow were obtained.Denouement and Discussion 
    Extrapleural Effusion of Retropharyngeal Origin 
    The diagnosis of cervicoextrapleural and cervicomediastinal extension of a retropharyngeal abscess was suspected. With the patient under general anesthesia