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68386

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

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Last updated: 03 Jan 2025

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Abstract

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 anti-tuberculous 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.

DOI

10.21608/ejentas.2019.4118.1022

Keywords

Paediatric airway, retropharyngeal abscess, snoring, stridor, tuberculosis

Authors

First Name

Sharifah

Last Name

Safuraa

MiddleName

Intan

Affiliation

Department of Otorhinolaryngology- Head & Neck Surgery, National University of Malaysia Medical Centre, Kuala Lumpur

Email

-

City

-

Orcid

-

First Name

Primuharsa

Last Name

Putra

MiddleName

-

Affiliation

Ear, Nose, Throat-Head & Neck Consultant Clinic, KPJ Seremban Specialist Hospital/KPJ Healthcare University College, Negeri Sembilan

Email

primuharsa.putra@gmail.com

City

-

Orcid

-

First Name

Saraiza

Last Name

Abu Bakar

MiddleName

-

Affiliation

Department of Otorhinolaryngology-Head & Neck Surgery, Serdang Hospital, Serdang, Selangor, Malaysia

Email

saraizaabakar@gmail.com

City

-

Orcid

-

First Name

Dina

Last Name

Hashim

MiddleName

-

Affiliation

Department of Otorhinolaryngology- Head & Neck Surgery, National University of Malaysia Medical Centre, Kuala Lumpur

Email

-

City

-

Orcid

-

First Name

Zara

Last Name

Nasseri

MiddleName

-

Affiliation

Department of Otorhinolaryngology, Head and Neck Surgery Faculty of Medicine University Kebangsaan Malaysia Medical Centre Kuala Lumpur Malaysia

Email

zaranasseriwork@gmail.com

City

Selangor

Orcid

-

Volume

20

Article Issue

2

Related Issue

6847

Issue Date

2019-07-01

Receive Date

2018-06-10

Publish Date

2019-07-01

Page Start

99

Page End

103

Print ISSN

2090-0740

Online ISSN

2090-3405

Article File

EJENTAS_Volume 20_Issue 2_Pages 99-103.pdf

PDF . 844.6kB

Link

https://ejentas.journals.ekb.eg/article_68386.html

Detail API

https://ejentas.journals.ekb.eg/service?article_code=68386

Order

9

Type

Case report

Type Code

473

Publication Type

Journal

Publication Title

Egyptian Journal of Ear, Nose, Throat and Allied Sciences

Publication Link

https://ejentas.journals.ekb.eg/

MainTitle

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

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Type

Article

Created At

22 Jan 2023