Retropharyngeal Abscess — RACP Paediatrics MCQ

Instant feedback + full explanation. One question, done properly.

ModerateInfectious DiseaseRetropharyngeal AbscessRACP Paediatrics

A 12-month-old presents with fever, torticollis, neck stiffness, and drooling. Lateral neck X-ray shows widening of the prevertebral space. CT shows a retropharyngeal collection. What is the diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Retropharyngeal abscess

Retropharyngeal abscess presents in young children (<6 years) with fever, neck stiffness, drooling, refusal to eat, and torticollis. Widened prevertebral space on lateral neck X-ray (>7 mm at C2) is suggestive. CT with contrast confirms the diagnosis. Management includes IV antibiotics and surgical drainage if an abscess is present.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Retropharyngeal Abscess