Feather foreign body caused periparotid and peritonsillar abscess in a 9-month-old girl

Migratory foreign body appeared to be bird feather, caused peritonsillar and periparotid abscess in a nine-month-old infant. Patient presented painful, tender and fluctuating red neck mass on the left neck region II, and refusal of oral intake, with no fever. Azithromycin was introduced four days be...

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Veröffentlicht in:Auris, nasus, larynx nasus, larynx, 2021-10, Vol.48 (5), p.1023-1025
Hauptverfasser: Gabelica, Mirko, Tafra, Robert, Martinić, Marina Krnić, Kontić, Mirko, Markić, Joško, Kovačević, Tanja, Čagalj, Ivana Čulo, Ninčević, Željko
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container_issue 5
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container_title Auris, nasus, larynx
container_volume 48
creator Gabelica, Mirko
Tafra, Robert
Martinić, Marina Krnić
Kontić, Mirko
Markić, Joško
Kovačević, Tanja
Čagalj, Ivana Čulo
Ninčević, Željko
description Migratory foreign body appeared to be bird feather, caused peritonsillar and periparotid abscess in a nine-month-old infant. Patient presented painful, tender and fluctuating red neck mass on the left neck region II, and refusal of oral intake, with no fever. Azithromycin was introduced four days before presentation for suspected urinary tract infection. ENT examination revealed left peritonsillar abscess; ultrasound confirmed periparotid abscess, MSCT verified both diagnoses. Under general anaesthesia, we performed abscess incision, after pus drainage, small foreign body spontaneously came through the wound. After washing it with saline, it appeared like a bird feather. Subsequently, peritonsillar abscess was incised and drained. After 24-hour postoperative care on pediatric intensive care unit, the patient continued three-day parenteral antibiotic treatment on the otolaryngology department; it was discharged with a recommendation to continue seven days of oral antibiotic therapy. Suggested mechanism was ingestion of bird feather from stuffed bedding, that got trapped in the tonsillar crypt. Afterwards, it started to migrate through the neck tissue. Households with children younger than three years should not have feather stuffed clothes or beddings.
doi_str_mv 10.1016/j.anl.2020.05.021
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Patient presented painful, tender and fluctuating red neck mass on the left neck region II, and refusal of oral intake, with no fever. Azithromycin was introduced four days before presentation for suspected urinary tract infection. ENT examination revealed left peritonsillar abscess; ultrasound confirmed periparotid abscess, MSCT verified both diagnoses. Under general anaesthesia, we performed abscess incision, after pus drainage, small foreign body spontaneously came through the wound. After washing it with saline, it appeared like a bird feather. Subsequently, peritonsillar abscess was incised and drained. After 24-hour postoperative care on pediatric intensive care unit, the patient continued three-day parenteral antibiotic treatment on the otolaryngology department; it was discharged with a recommendation to continue seven days of oral antibiotic therapy. Suggested mechanism was ingestion of bird feather from stuffed bedding, that got trapped in the tonsillar crypt. 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subjects Abscess - diagnostic imaging
Abscess - etiology
Abscess - therapy
Animals
Anti-Bacterial Agents - therapeutic use
Drainage
Feather
Feathers
Female
Foreign Bodies - complications
Foreign Bodies - diagnostic imaging
Foreign Bodies - therapy
Foreign-Body Migration - complications
Foreign-Body Migration - diagnostic imaging
Foreign-Body Migration - therapy
Humans
Infant
Migrating foreign body
Neck abscess
Palatine Tonsil - diagnostic imaging
Parotid Region
Periparotid abscess
Peritonsillar abscess
Peritonsillar Abscess - diagnostic imaging
Peritonsillar Abscess - etiology
Peritonsillar Abscess - therapy
Tomography, X-Ray Computed
Ultrasonography
title Feather foreign body caused periparotid and peritonsillar abscess in a 9-month-old girl
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