Tuberculous retropharyngeal abscess revisited

Menon, Eva; Baruah, Paramita

doi:10.1136/bcr-2013-202514

Cited by 14 publications

(16 citation statements)

References 11 publications

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“…Deep neck infections are a rare clinical presentation of tuberculosis infection [ 14 ]. The culture of the organism in one of our cases reflects the high incident rate of the disease in South Africa, which is one of 30 high burden countries in the world [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Deep Neck Space Infection in HIV-Infected Children: A Case Series

Hari

Mungul

Maharaj

2020

Cureus

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Background Deep neck space infections (DNSIs) in children may lead to airway compromise and damage to the great vessels in the neck. They occur more commonly in the HIV-infected population. To our knowledge, this is the first case series of DNSI in HIV-infected children Objectives The aim of this study was to describe the demography and document the sites of infection; organisms identified and resistance patterns in HIV-infected children with DNSI. Methods We retrospectively reviewed the clinical records of children (<16 years) diagnosed with deep neck infections at the teaching hospitals for the

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Section: Discussionmentioning

confidence: 99%

Deep Neck Space Infection in HIV-Infected Children: A Case Series

Hari

Mungul

Maharaj

2020

Cureus

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“…Typical presentation of RPA includes, among others, dysphagia, neck swelling, fullness of the lateral pharyngeal wall and cystic swelling over the posterior pharyngeal wall (3) . Besides that, single-sided neck pain with restriction of neck movement can also be a prominent presentation (4) . Thorough and detailed medical history and clinical examination The diagnosis of RPA can be supported by imaging.…”

Section: Discussionmentioning

confidence: 99%

“…CECT can demonstrate a ring-enhancing lesion within the retropharyngeal space in addition to collapse of the anterior angle of the cervical vertebra as in Pott's disease (5) . Magnetic resonance imaging (MRI) is superior in delineating prevertebral soft tissue involvement in RPA (4) . On the other hand, blood investigations and infectious screening, including rapid plasma reagin (RPR), hepatitis screening, human immunodeficiency virus (HIV), erythrocyte sedimentation rate (ESR), CRP, and full blood count, are also useful.…”

Section: Discussionmentioning

confidence: 99%

Rare manifestation of Pott’s spine

Hong¹,

Saniasiaya²,

Hailani³

2020

Pediatr Med Rodz

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Retropharyngeal abscess with cervical spine tuberculosis is a rare presentation of extra-pulmonary tuberculosis, which can lead to severe life-threatening complications. We report a case of a young man who presented with odynophagia and neck pain. Intraoral examination revealed cystic mass over the posterior pharyngeal wall, which turned out to be a retropharyngeal abscess secondary to tuberculosis of spine. The patient recovered with anti-tubercular treatment. We would like to highlight the diagnostic challenge faced and the management of this entity.

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“…A retropharyngeal abscess can be drained safely either by intraoral or transcervical approach [6,7] . Therapeutic aspiration has been successful and repeated as necessary [21] . Early referral to a respiratory physician and prompt initiation of anti-tuberculous chemotherapy is advised [1,2] .…”

Section: Discussionmentioning

confidence: 99%

A rare case of tuberculous abscess causing airway obstruction in a paediatric patient in South-East Asia

Safuraa

Putra

Bakar

et al. 2019

Egyptian Journal of Ear, Nose, Throat and Allied Sciences

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A 6-year old girl, presented with symptoms of obstructive sleep apnoea. She was referred to our centre when she developed obstructive symptoms such as stridor and dysphagia a month later. She was found to have a right neck swelling with a posterior pharyngeal wall mass, which caused upper airway obstruction. A computerized-tomography scan of her neck showed a very narrowed upper airway with a retropharyngeal abscess without prevertebral or vertebral involvement. She had a challenging intubation and underwent an emergency intraoral incision and drainage. Pus that was drained revealed acid fast bacilli and histopathological examination showed necrotizing granulomatous inflammation, in favour of a tuberculous abscess. Post operatively, her symptoms resolved and her intraoral wound healed. She completed antituberculous treatment and has remained well at 6 months follow up. Our case illustrates how a cold retropharyngeal abscess can masquerade as obstructive sleep apnoea, with a compromised airway as it increases in size.

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Tuberculous retropharyngeal abscess revisited

Cited by 14 publications

References 11 publications

Deep Neck Space Infection in HIV-Infected Children: A Case Series

Deep Neck Space Infection in HIV-Infected Children: A Case Series

Rare manifestation of Pott’s spine

A rare case of tuberculous abscess causing airway obstruction in a paediatric patient in South-East Asia

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