Paediatric acute retropharyngeal abscesses Access this article online Quick Response Code:
Website: www.afrjpaedsurg.org DOI: 10.4103/0189-6725.132857
common complication of RPA and it could be seen in 57%.[2] It is recommended that this is an emergency condition. Antibiotic administration and early surgical drainage is recommended.[3] Viroj Wiwanitkit
PMID: ***
Sir, The recent report on “paediatric acute retropharyngeal abscesses (RPA)” is very interesting.[1] A study by Nazir et al. concluded that “children with RPA most commonly present with restricted neck movements, fever and cervical lymphadenopathy and rarely with respiratory distress or stridor.[1]” In fact, this finding is similar to reports from other setting. However, focusing on the problem of stridor, the data of the prevalence is different from previous report from Nigeria. Nwaorgu et al. in their study have reported that stridor is a
Hainan Medical University, Hainan, China Address for correspondence: Prof. Viroj Wiwanitkit, Hainan Medical University, China. E-mail: [email protected]
REFERENCES 1.
2.
3.
Nazir KA, Fozia PA, Ul Islam M, Shakil A, Patigaroo SA. Paediatric acute retropharyngeal abscesses: An experience. Afr J Paediatr Surg 2013;10:327-35. Nwaorgu OG, Onakoya PA, Fasunla JA, Ibekwe TS. Retropharyngeal abscess: A clinical experience at the University College Hospital Ibadan. Niger J Med 2005;14:415-8. Sasidaran K, Bansal A, Singhi S. Acute upper airway obstruction. Indian J Pediatr 2011;78:1256-61.
Dog bite injuries of genitalia Access this article online Quick Response Code:
Website: www.afrjpaedsurg.org
wound.[2,3] Discussion with the parents on the surgical management and immunisation is the critical step that all practitioners have to gently do.[2]
DOI: 10.4103/0189-6725.132858
Nora Pokee, Viroj Wiwanitkit1
PMID: ***
Sir, “Dog bite injuries of genitalia” is an important problem.[1] Bertozzi and Appignani mentioned for the management of dog bites include irrigation, debridment, antibiotic therapy, consideration of tetanus and rabies immunisation and suture of wounds or surgical reconstruction.[1] The interesting issue is on the rabies immunisation. Dog is still the main cause of rabies worldwide and the post-exposure rabies vaccination should be used in any setting. The concern is on the use of immunoglobulin. The decision to use immunoglobulin should be based on the severity of the
200
April-June 2014 / Vol 11 / Issue 2
Pokee-Clinic, Bangkok, Thailand, 1Adjunct professor, Joseph Ayo Babalola University, Ikeji-Arakeji, Nigeria Address for correspondence: Nora Pokee Pokee-Clinic, Bangkok, Thailand. E-mail: [email protected]
REFERENCES 1.
Bertozzi M, Appignani A. The management of dog bite injuries of genitalia in paediatric age. Afr J Paediatr Surg 2013;10:205-10.
2.
Bothra R, Bhat A, Saxena G, Chaudhary G, Narang V. Dog bite injuries of genitalia in male infant and children. Urol Ann 2011;3:167-9.
3.
Dubosq F, Traxer O, Boublil V, Gattegno B, Thibault P. Management of dog bite trauma of the external genital organs. Prog Urol 2004;14:232-3.
African Journal of Paediatric Surgery
Copyright of African Journal of Paediatric Surgery is the property of Medknow Publications & Media Pvt. Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use.
Website: www.afrjpaedsurg.org DOI: 10.4103/0189-6725.132857
common complication of RPA and it could be seen in 57%.[2] It is recommended that this is an emergency condition. Antibiotic administration and early surgical drainage is recommended.[3] Viroj Wiwanitkit
PMID: ***
Sir, The recent report on “paediatric acute retropharyngeal abscesses (RPA)” is very interesting.[1] A study by Nazir et al. concluded that “children with RPA most commonly present with restricted neck movements, fever and cervical lymphadenopathy and rarely with respiratory distress or stridor.[1]” In fact, this finding is similar to reports from other setting. However, focusing on the problem of stridor, the data of the prevalence is different from previous report from Nigeria. Nwaorgu et al. in their study have reported that stridor is a
Hainan Medical University, Hainan, China Address for correspondence: Prof. Viroj Wiwanitkit, Hainan Medical University, China. E-mail: [email protected]
REFERENCES 1.
2.
3.
Nazir KA, Fozia PA, Ul Islam M, Shakil A, Patigaroo SA. Paediatric acute retropharyngeal abscesses: An experience. Afr J Paediatr Surg 2013;10:327-35. Nwaorgu OG, Onakoya PA, Fasunla JA, Ibekwe TS. Retropharyngeal abscess: A clinical experience at the University College Hospital Ibadan. Niger J Med 2005;14:415-8. Sasidaran K, Bansal A, Singhi S. Acute upper airway obstruction. Indian J Pediatr 2011;78:1256-61.
Dog bite injuries of genitalia Access this article online Quick Response Code:
Website: www.afrjpaedsurg.org
wound.[2,3] Discussion with the parents on the surgical management and immunisation is the critical step that all practitioners have to gently do.[2]
DOI: 10.4103/0189-6725.132858
Nora Pokee, Viroj Wiwanitkit1
PMID: ***
Sir, “Dog bite injuries of genitalia” is an important problem.[1] Bertozzi and Appignani mentioned for the management of dog bites include irrigation, debridment, antibiotic therapy, consideration of tetanus and rabies immunisation and suture of wounds or surgical reconstruction.[1] The interesting issue is on the rabies immunisation. Dog is still the main cause of rabies worldwide and the post-exposure rabies vaccination should be used in any setting. The concern is on the use of immunoglobulin. The decision to use immunoglobulin should be based on the severity of the
200
April-June 2014 / Vol 11 / Issue 2
Pokee-Clinic, Bangkok, Thailand, 1Adjunct professor, Joseph Ayo Babalola University, Ikeji-Arakeji, Nigeria Address for correspondence: Nora Pokee Pokee-Clinic, Bangkok, Thailand. E-mail: [email protected]
REFERENCES 1.
Bertozzi M, Appignani A. The management of dog bite injuries of genitalia in paediatric age. Afr J Paediatr Surg 2013;10:205-10.
2.
Bothra R, Bhat A, Saxena G, Chaudhary G, Narang V. Dog bite injuries of genitalia in male infant and children. Urol Ann 2011;3:167-9.
3.
Dubosq F, Traxer O, Boublil V, Gattegno B, Thibault P. Management of dog bite trauma of the external genital organs. Prog Urol 2004;14:232-3.
African Journal of Paediatric Surgery
Copyright of African Journal of Paediatric Surgery is the property of Medknow Publications & Media Pvt. Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use.
