Retropharyngeal abscess

- Most common in children < 6 years old.

- Urgent ENT consult recommended.

- May be complicated by progression to contiguous structures.

Usual Pathogens

Group A Streptococci
S. aureus
Haemophilus spp


Empiric Therapy Dose Duration
Vancomycin 60mg/kg/d IV div q6h Duration dependent on extent and progression of disease
Ceftriaxone 100mg/kg IV q24h  
Metronidazole 30mg/kg/d IV div q12h