The diseases of infants and children . usually of an in-flammation developing in the retropharyngeal lymphatic glands. Theprocess is exactly similar to that of lymphadenitis elsewhere. The glands iTrait6 des mal. do reiifance, Granchev, 1904, 11,70. RETROPHARYNGEAL ABSCESS 677 may produce a prominent swelling in the pharj-nx without the produc-tion of pus, but oftener suppuration takes place. The swelling is usuallylocalized more upon one side or the other, inasmuch as the glands aresituated upon each side of the median line. In the much less commoncases in which the process is secondary to ca
The diseases of infants and children . usually of an in-flammation developing in the retropharyngeal lymphatic glands. Theprocess is exactly similar to that of lymphadenitis elsewhere. The glands iTrait6 des mal. do reiifance, Granchev, 1904, 11,70. RETROPHARYNGEAL ABSCESS 677 may produce a prominent swelling in the pharj-nx without the produc-tion of pus, but oftener suppuration takes place. The swelling is usuallylocalized more upon one side or the other, inasmuch as the glands aresituated upon each side of the median line. In the much less commoncases in which the process is secondary to caries of the cervical vertebrse,the pus may sometimes burrow downward along the spinal column. Symptoms.—-The first suggestive symptom appearing after thedevelopment of fever of undiscovered cause, or perhaps attending a naso-pharyngeal catarrh, is difficulty in swallowing, which may become sodecided that no food can be taken, and efforts to accomplish it are fol-lowed by regurgitation through the mouth or nose. Associated with this. Tfcw |ay|3o|3/n I * I 3 k 1^ I fe Iy I ? Iy kol// |/x|/J \/¥\/r\r6\/7 Fig. 235.—Temimckaii itK (iiakt a Case ok Re iitorjiAUVMiKAi. ,.s i.\ a Child of 20 Months.(Hand, Annula of Gynaec. and Pedial., lSf)<t, XII. Jan.) is usually an interference with respiration which makes it of a vcmv char-acteristic nature. It becomes, namely, a spluttering or gurgling, asthough there were an accumulation of mucus in the back of the throat;but there is usually not the stridor of laryngeal disease. The mouth iskept open and the head rigidly thrown backward and occasionally toone side. Kespiration through tlic nose is obstructed and there is snoringduring sleep. Sometimes in advanced cases there is dysjmea from pres-sure of the abscess on the larynx. The voice is nasal but usually nothoarse. Sligiit cough is not uncommon. The constitutional symptomsmay be inconsiderable, but debility and more or less fever are the rule(Fig. 235), vomiting and l
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