Multifocal Extensive Spinal Tuberculosis with Retropharyngeal Abscess

Shumy, Farzana; Anam, Ahmad Mursel; Chowdhury, MA Jalil; Azad, Abul Kalam; Nahar, Samsun

doi:10.3329/bsmmuj.v4i2.8646

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…An excisional biopsy followed by histological examination can differentiate cancer and also identify TB and cancer [2,14,15] . Surgical intervention in Pott disease is indicated if there is a neurologic deficit, a spinal deformity with instability or pain, no response to antitubercular therapy, or a large paraspinal abscess [16] . Our patient presented without the classic symptoms of tuberculosis such as night sweats, bodyweight loss, and cachexia and without lung involvement but we were aware of the possibility of tuberculosis because he came from Somalia, a country with a very high incidence of tuberculosis and because of the radiological picture of destructive lesions of the cervical vertebrae.…”

Section: Discussionmentioning

confidence: 99%

A challenging diagnosis in a patient with Odynophagia

2021

IJCR

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Tuberculous retropharyngeal abscesses are rare but potentially life-threatening manifestations of tuberculosis. We present herein a case of an 18-year-old male patient, a migrant from Somalia, accusing fever, odynophagia and neck pain. CT scan and MRI study of the neck showed a retropharyngeal and prevertebral abscess from C1 to D1 with the involvement of epidural space and spondylitis. Resolution of the abscess with few signs of residual spondylitis was achieved after surgical evacuation and antitubercular treatment.

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Section: Discussionmentioning

confidence: 99%

A challenging diagnosis in a patient with Odynophagia

2021

IJCR

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“…[19] Surgical intervention in Pott disease is indicated if there is a neurologic deficit, spinal deformity with instability or pain, no response to antitubercular chemotherapy, and large paraspinal abscess. [20] Majority of patients with tuberculous retropharyngeal abscesses with neurologic complications recover following prompt surgical drainage and antitubercular medications. [21]…”

Section: Discussionmentioning

confidence: 99%

Tuberculous retropharyngeal abscess with Pott disease and tuberculous abscess of the chest wall

Hsu¹,

Chen

2019

Medicine

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Rationale: Tuberculous retropharyngeal abscess is rare, but it can be fatal if not treated appropriately. It usually occurs secondary to tuberculosis of the cervical spine. Moreover, tuberculous abscess involving the chest wall is relatively rare in skeletal tuberculosis. Although the optimal treatment is controversial, most clinicians suggest a combination of sufficient antituberculous medication and complete resection to prevent recurrence and increase therapeutic efficacy. Herein, we present an unusual case of retropharyngeal abscess with cervical Pott disease and tuberculous abscess of the chest wall. Patient concerns: The patient was a 27-year-old Indonesian woman who had neck pain, dysphagia, and odynophagia, but no neurological deficit. Examination of the oral cavity showed anterior displacement of the posterior pharyngeal wall. The mass over the right anterior chest wall measured approximately 5 × 4 cm in size. Diagnoses: Radiography and computed tomography findings were suggestive of retropharyngeal abscess extending to the cervical spine and chest wall abscess. Interventions: She was admitted to the hospital for treatment. Drainage of the retropharyngeal and chest wall abscesses with debridement of the chest wall was performed. Outcomes: No complications occurred after early surgical treatment and administration of antituberculous medication. The patient recovered well and went back to her own country after discharge. Lessons: Tuberculous retropharyngeal abscess with Pott disease and tuberculous abscess of the chest wall are both complicated diagnoses that physicians have to consider in similar patient presentations.

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Multifocal Extensive Spinal Tuberculosis with Retropharyngeal Abscess

Cited by 2 publications

References 8 publications

A challenging diagnosis in a patient with Odynophagia

A challenging diagnosis in a patient with Odynophagia

Tuberculous retropharyngeal abscess with Pott disease and tuberculous abscess of the chest wall

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