Parapharyngeal space infections

- Consult ENT.

 
Usual Pathogens
Polymicrobial:

Anaerobes
Streptococcus spp
Eikenella corrodens

 

Empiric Therapy Dose Duration
Surgical drainage    
+    
Penicillin 150,000-250,000 units/kg/d IV div q4-6h 10-14 days
+    
Metronidazole 30mg/kg/d IV div q12h  

ß-lactam allergy

Empiric Therapy Dose Duration
Clindamycin 30-40mg/kg/d IV div q8h 10-14 days