Fatal case of retropharyngeal abscess associated with Pott's disease

Hugar, Basappa S; Chandra, Y. P. Girish; Babu, P. R.; Jayanth, SH; Vinay, J

doi:10.1016/j.jflm.2013.06.007

Cited by 12 publications

(15 citation statements)

References 8 publications

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“…Retropharyngeal abscess is an ailment which should be treated intensively due to the possibility of complications, some of which can be life-threatening [5,16,17,25]. Herzon and Martin mention the following potential complications: obstruction of the respiratory tract, thrombotic inflammation of the internal jugular vein, thrombotic inflammation of the cavernous sinus, erosion of the carotid artery wall (possible massive haemorrhage), inflammatory infiltration of the sympathetic trunk (Horner's syndrome), descending necrotic inflammation of the mediastinum, epidural abscess, necrotic fascitis, aspiration pneumonia, septicaemia, septicopyemia, and metastatic abscesses [26].…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

“…Author's own proposal for effective drainage adults is extremely rare and mostly appears as a complication of: iatrogenic trauma (gastroscopy, intubation, intragastric tube placement) causing suppuration of retropharyngeal haematoma [13,14], the presence of a foreign body in the rear wall of the pharynx (fish bone, animal bone) [15,16], osteoarticular tuberculosis of the cervical spine (Pott's disease) [17,18], or suppurative inflammations of dental origin [19,20].…”

Section: For This Reason the Occurrence Of Retropharyngeal Abscess Inmentioning

confidence: 99%

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Ropień zagardłowy u 56-letniego mężczyzny – rzadkie powikłanie zębopochodnego stanu zapalnego. Własna propozycja skutecznego drenażu

Sikora¹,

Sielski²,

Stąpor³

et al. 2017

Pomeranian J Life Sci

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Retropharyngeal abscess in adults occurs rarely. In a small number of patients it arises as a complication of odontogenic inflammation, as in the case we describe. The key task in the treatment of patients with retropharyngeal abscess is to make the correct diagnosis. The image examination of choice in adult patients with suspected retropharyngeal abscess should be computed tomography with contrast. After making the correct diagnosis it is necessary to initiate the appropriate treatment (conservative or surgical). In cases treated surgically the effective and free approach to retropharyngeal space is transcervical access. The effective drainage of the retropharyngeal space using the rinsing drain devised by the authors enabled the total evacuation of residual suppurative content and prevented dangerous complications, such as descending necrotic mediastinitis, leading to the recovery of the patient. Keywords: computed tomography with contrast; drainage of retropharyngeal space; retropharyngeal abscess; rinsing drain. ABSTRAKTRopień zagardłowy u osób dorosłych jest schorzeniem występującym rzadko. W niewielkiej liczbie przypadków jest to powikłanie zębopochodnego stanu zapalnego implikowanego przyjmowaniem metotreksatu. Przypadek taki został opisany w niniejszej pracy. W rozpoznaniu ropnia zagardłowego istotną rolę odgrywa diagnostyka obrazowa ze wskazaniem na tomografię komputerową szyi z kontrastem. Po właściwym ustaleniu rozpoznania niezbędne jest szybkie wdrożenie właściwego postępowania terapeutycznego: zachowawczego w postaci antybiotykoterapii o szerokim spektrum, a w uzasadnionych sytuacjach również chirurgicznego. U chorych leczonych chirurgicznie stosuje się przezszyjny dostęp do przestrzeni zagardłowej. W przypadku opisanym w niniejszej pracy zastosowano drenaż przestrzeni zagardłowej za pomocą drenu płuczącego własnej konstrukcji, który umożliwił skuteczne odprowadzenie treści ropnej. Postę-powanie to pozwoliło na uniknięcie niebezpiecznego powikłania, jakim jest zstępujące martwicze zapalenie śródpiersia, i umoż-liwiło całkowite wyleczenie chorego. Słowa kluczowe: dren płuczący; drenaż przestrzeni zagardło-wej; ropień zagardłowy; tomografia komputerowa z kontrastem.

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Section: Discussion and Literature Reviewmentioning

confidence: 99%

Section: For This Reason the Occurrence Of Retropharyngeal Abscess Inmentioning

confidence: 99%

Ropień zagardłowy u 56-letniego mężczyzny – rzadkie powikłanie zębopochodnego stanu zapalnego. Własna propozycja skutecznego drenażu

Sikora¹,

Sielski²,

Stąpor³

et al. 2017

Pomeranian J Life Sci

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show abstract

“…2 When misdiagnosed, it can lead to neurological or life-threatening complications. 2,3 The authors report a new case of airway obstructive retropharyngeal abscess revealing cervical Pott disease.…”

Section: Introductionmentioning

confidence: 99%

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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“…This led to randomized clinical trials, conducted by the British Medical Research Council in A staggering one-third of the world's population is likely to be infected with tuberculosis (TB). [1][2][3][4] According to current World Health Organization estimates, TB kills 1.68 million people a year, world-wide. [2] With an increasing number of immune compromised patients related to human immunodeficiency virus, there may be a world-wide resurgence of TB.…”

mentioning

confidence: 99%

“…[1][2][3][4] According to current World Health Organization estimates, TB kills 1.68 million people a year, world-wide. [2] With an increasing number of immune compromised patients related to human immunodeficiency virus, there may be a world-wide resurgence of TB. Of all the patients suffering from TB, nearly 5% has involvement of the skeletal system.…”

mentioning

confidence: 99%

The changing trends in management of spinal tuberculosis: Are we hitting a better road?

Chandra¹

2017

IJNS

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Fatal case of retropharyngeal abscess associated with Pott's disease

Cited by 12 publications

References 8 publications

Ropień zagardłowy u 56-letniego mężczyzny – rzadkie powikłanie zębopochodnego stanu zapalnego. Własna propozycja skutecznego drenażu

Ropień zagardłowy u 56-letniego mężczyzny – rzadkie powikłanie zębopochodnego stanu zapalnego. Własna propozycja skutecznego drenażu

Tuberculous retropharyngeal abscess presenting as severe dyspnea

The changing trends in management of spinal tuberculosis: Are we hitting a better road?

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