Cervical Pott's disease revealed by retropharyngeal abcess

Rachdi, I.; Fekih, Y.; Daoud, F.; Aydi, Z.; Dhaou, B. Ben; Boussema, F.

doi:10.1016/j.lpm.2018.08.010

Cited by 3 publications

(8 citation statements)

References 9 publications

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“…4 Cervical spine localization is uncommon, representing 3 to 5% of vertebral locations in tuberculosis disease. [3][4][5][6] Presence of a perilesional abscess is classic, spreading to soft paravertebral tissues as a cold abscess in the retropharyngeal space. 3,4,6 However, airway obstructive retropharyngeal abscess is an exceptional and potentially life-threatening condition.…”

Section: Discussionmentioning

confidence: 99%

“…Insidious to severe neurological deficit can be found, due to inflammatory irritation or cervico-medullary compression. 5,6,9 Tuberculosis infectious symptoms, as night fever or sweats, asthenia and weight loss, are not always present. 2,5,7,8,10 Lateral X-rays of the cervical spine can be a useful diagnostic tool by showing vertebral destruction.…”

Section: Discussionmentioning

confidence: 99%

“…5,6,9 Tuberculosis infectious symptoms, as night fever or sweats, asthenia and weight loss, are not always present. 2,5,7,8,10 Lateral X-rays of the cervical spine can be a useful diagnostic tool by showing vertebral destruction. 2,8,10 CT scan demonstrates retropharyngeal abscess, destructive bone lesions of cervical vertebrae and disc involvement.…”

Section: Discussionmentioning

confidence: 99%

“…2,8,10 CT scan demonstrates retropharyngeal abscess, destructive bone lesions of cervical vertebrae and disc involvement. 5,7,9 CT scan also precise spinal statics. 9 shows retropharyngeal abscess and improves analysis of neurological lesions.…”

Section: Discussionmentioning

confidence: 99%

“…9 shows retropharyngeal abscess and improves analysis of neurological lesions. 5,9,10 Bacteriological examination, Enzyme-linked immunosorbent assay (ELISA), and PCR confirm tuberculosis diagnosis. 5,7,9 Testing for HIV co-infection should be systematic.…”

Section: Discussionmentioning

confidence: 99%

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Tuberculous retropharyngeal abscess presenting as severe dyspnea

Lame

Loum

Ndiaye

et al. 2020

Int J Otorhinolaryngol Head Neck Surg

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<p>Tuberculous retropharyngeal abscess is an exceptional condition, with high potential of functional morbidity and mortality if not treated appropriately. The authors report a new case of airway obstructive retropharyngeal abscess revealing cervical Pott disease. A 59 years old man presented at Ear, neck and throat (ENT) department with severe acute dyspnea. The history revealed progressive chronic dysphagia associated with asthenia and important weight loss. Physical examination found a state 3 dyspnoeic patient, presenting hyper flexed neck with limited movements. Nasofibroscopy showed a huge retropharyngeal bulge. Computed tomography (CT) scan showed a large retropharyngeal abscess located in front of vertebral spondylodiscitis with anterior dislocation of C4-C5-C6 vertebrae. Trans-oral incision with drainage of the retropharyngeal abscess was performed under general anaesthesia. Bacteriologic assessment of the pus confirmed tuberculosis infection. Anti-tuberculous medication was delivered, associated with spinal stabilization by a rigid cervical collar. Tuberculous retropharyngeal abscess is a very rare condition. Early diagnosis and treatment are necessary to prevent neurological and life-threatening complications. Collaboration between ENTs, anaesthetists, neurosurgeons and infectious disease specialists remains incontournable.</p>

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Tuberculous retropharyngeal abscess presenting as severe dyspnea

Lame

Loum

Ndiaye

et al. 2020

Int J Otorhinolaryngol Head Neck Surg

View full text Add to dashboard Cite

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A Case Report of Complete Dislocation of Atlantoaxial Joint due to a Traumatic and Pathological Axial Lesion

Yuan

Wan

et al. 2021

Int J Spine Surg

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Background: Atlantoaxial dislocation usually results in sudden death. The patient had never found any axial lesion before, and the atlantoaxial joint dislocation was caused by rotation of the neck due to discomfort of the neck. The patient was given surgical treatment after the rescue of respiratory and cardiac arrest during transportation, which was extremely rare and rarely reported.Methods: A 62-year-old male patient presented with limited cervical mobility after a violent rotation of the neck due to neck discomfort. X-ray and computed tomography (CT) scan suggested atlantoaxial dislocation. Sudden respiratory and cardiac arrest during transportation was immediately followed by continuous cranial traction and successful occipital and neck fusion operation.Results: After the successful rescue of endotracheal intubation, the patient was given continuous cranial traction. After the completion of CT scan, the patient was given occipital neck fusion, and 6 days after the surgery, the patient wore the skull-neck-thorax brace and walked freely.Conclusion: Continuous cranial traction and posterior occipitocervical fusion are effective methods for treating axial pathological fracture with atlantoaxial dislocation.Level of Evidence: 5.

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Tubercular Retropharyngeal Abscess With Pott’s Disease in an Elderly Male Patient

Thomas

Gupta

Gaba

et al. 2020

Cureus

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Retropharyngeal abscess (RPA) is a life-threatening emergency due to its potential to cause airway compression. It is rare in the elderly and occurs mostly in immunocompromised patients, or as a complication of instrumentation. We are reporting the case of a 70-year-old male who presented with sudden onset breathing difficulty with a history of dysphagia for three months. The clinical examination revealed a bulge in the posterior pharyngeal wall. A lateralview radiograph of neck revealed retropharyngeal soft tissue density with carious spine. The patient was successfully treated by trans-oral incision and drainage of the abscess under local anesthesia. Diagnosis of tuberculosis was confirmed by positive acid-fast staining and cartridge-based nucleic acid amplification test (CBNAAT). The patient improved significantly following the initiation of anti-tubercular therapy.

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Cervical Pott's disease revealed by retropharyngeal abcess

Cited by 3 publications

References 9 publications

Tuberculous retropharyngeal abscess presenting as severe dyspnea

Tuberculous retropharyngeal abscess presenting as severe dyspnea

A Case Report of Complete Dislocation of Atlantoaxial Joint due to a Traumatic and Pathological Axial Lesion

Tubercular Retropharyngeal Abscess With Pott’s Disease in an Elderly Male Patient

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