Retro/Para Pharyngeal Cellulitis/Abscess

If abscess documented, consult ENT.

If older child or adolescent with neck pain and significant illness, consider jugular venous septic phlebitis (Lemiere's syndrome) caused by Fusobacterium and perform appropriate imaging.

Infection Prevention and Control

Droplet / Contact Precautions

Until 24 hours of appropriate antimicrobial therapy

Empiric Antimicrobials

OR

*If abscess seen on imaging
or
*in severely ill patient
ADD

Spectrum may be narrowed to a more specific agent if cultures indicate a specific pathogen.

Usual Duration

10 days including oral conversion to Amoxicillin - Clavulanic acid OR CeFURoxime axetil when afebrile for 24 - 48 hours and clinically improved