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A Case Report and Review of the Literature

Susan E. Pearson, MD; Sukgi S. Choi, MD

Arch Otolaryngol Head Neck Surg. 2005;131:454-456.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

In the postantibiotic era, pseudoaneurysm (PA) of the internal carotid artery (ICA) is a rare but potentially lethal complication of parapharyngeal or retropharyngeal infections. We report a case of a PA of the ICA that was caused by parapharyngeal infection and provide a review of the literature.

REPORT OF A CASE

A 4-year-old girl presented with a 3-week history of fevers, neck pain and stiffness, headache, and a rash over her lower extremities. Lyme disease titers (IgM and IgG) were obtained by her primary care provider and found to be abnormal, and amoxicillin therapy was initiated. A few days later, her parents observed that her right eyelid was drooping and her pupils were unequal. She also had dysphagia and hoarseness. She was admitted to a community hospital for further evaluation and treatment and subsequently transferred to the Children’s National Medical Center, Washington, DC.

Physical examination . . . [Full Text of this Article]

COMMENT

CONCLUSIONS

AUTHOR INFORMATION

Author Affiliations: Department of Pediatric Otolaryngology, Children's National Medical Center, Washington, DC.

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