AI Article Synopsis

  • Retropharyngeal abscesses are very rare in adults and even more so in pregnant women, with only one previous case reported.
  • A unique case is documented of a pregnant patient developing a retropharyngeal abscess complicated by septicemia from Prevotella buccae.
  • Medical professionals should consider retropharyngeal abscess in pregnant patients with sore throat, difficulty breathing, and swallowing, especially if linked to recent dental work, and should initiate appropriate antibiotic treatment.

Article Abstract

Background: Retropharyngeal abscess is extremely uncommon in adults and rare in pregnancy. A MEDLINE search yielded only 1 reported case during pregnancy. Likewise, sepsis caused by prevotella buccae, a bacteria associated with more benign conditions such as bacterial vaginosis or dental infections, is also rare, with no reported cases during pregnancy.

Case: We report a case of retropharyngeal abscess complicated by Prevotella buccae septicemia during pregnancy.

Conclusion: Retropharyngeal abscess should be suspected in a pregnant patient who presents with sore throat, dyspnea, and dysphagia, especially when preceded by dental treatment or symptoms. If confirmed, antibiotic treatment should cover the usual pathogens associated with retropharyngeal abscess, including Pre- votella species.

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