A 26-year-old woman with recurrent tonsillitis presents with progressive sore throat and pain with swallowing. She was febrile and had a white-cell count of 19,450 cells per cubic millimeter. CT scan of the neck is shown. What is the diagnosis?
A. Epiglottitis
B. Peritonsillar abscess
C. Retropharyngeal abscess
D. Septic thrombophlebitis of the internal jugular vein (Lemierre’s syndrome)
E. Submandibular space infection (Ludwig’s angina)
答案解析:
正确答案是咽后脓肿。她接受了紧急手术引流,并接受了静脉注射广谱抗菌剂治疗,因为这种情况会危及生命。液体培养有坏死梭杆菌生长。她的症状减轻,出院时口服抗菌药物。
正确答案:C
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