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73441

A Rare Cause of Retropharyngeal Abscess: Cervical Pott’s Disease

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Last updated: 03 Jan 2025

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Abstract

Tuberculosis (TB) disease is commonly caused by Mycobacterium tuberculosis.
Tuberculosis is known to affect almost every organ in the body, but its manifestations in the head and the neck region are quite rare. Tuberculous retropharyngeal abscesses are exceptional. They are usually secondary to tuberculosis of the spine.
We report one case of cervical Pott's disease revealed by a retropharyngeal abscess. The clinical presentation was dysphagia with bilateral neck swelling. Radiological findings suggested the diagnosis, showing a retropharyngeal collection with vertebral osteolysis. The histological assessment confirmed the diagnosis showing several granulomas with central caseous necrosis. The evolution was favorable after drainage and anti-tuberculosis drugs.
Vertebral tuberculosis is rare. Cervical Pott's disease is exceptional, and retropharyngeal abscesses can be the revealing feature of this condition. Symptoms are not specific. The diagnosis is based on radiological and bacteriological assessment. Treatment implicates a multidisciplinary team, first the evacuation of the collection, then anti-tuberculosis chemotherapy

DOI

10.21608/ejentas.2019.12274.1107

Keywords

Anti-tuberculosis therapy, cervical spine, retropharyngeal abscess, surgical drainage, tuberculosis

Authors

First Name

monia

Last Name

ghammam

MiddleName

-

Affiliation

ENT department Farhat Hached medicine university sousse tunisia

Email

ghammamonia@gmail.com

City

-

Orcid

-

First Name

Malika

Last Name

Omri

MiddleName

-

Affiliation

Department of ENT and Cervical Surgery, Farhat Hached Hospital, Medicine University, Sousse Tunisia

Email

-

City

-

Orcid

-

First Name

Jihene

Last Name

Houas

MiddleName

-

Affiliation

Department of ENT and Cervical Surgery, Farhat Hached Hospital, Medicine University, Sousse Tunisia

Email

-

City

-

Orcid

-

First Name

Abir

Last Name

Meherzi

MiddleName

-

Affiliation

Department of ENT and Cervical Surgery, Farhat Hached Hospital, Medicine University, Sousse Tunisia

Email

-

City

-

Orcid

-

First Name

Wassim

Last Name

Kermani

MiddleName

-

Affiliation

Department of ENT and Cervical Surgery, Farhat Hached Hospital, Medicine University, Sousse Tunisia

Email

-

City

-

Orcid

-

First Name

Maher

Last Name

Maoua

MiddleName

-

Affiliation

Department of ENT and Cervical Surgery, Farhat Hached Hospital, Medicine University, Sousse Tunisia

Email

-

City

-

Orcid

-

First Name

Mouna

Last Name

Bellakhdher

MiddleName

-

Affiliation

Department of ENT and Cervical Surgery, Farhat Hached Hospital, Medicine University, Sousse Tunisia

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Abdelkefi

MiddleName

-

Affiliation

Department of ENT and Cervical Surgery, Farhat Hached Hospital, Medicine University, Sousse Tunisia

Email

-

City

-

Orcid

-

Volume

21

Article Issue

1

Related Issue

10892

Issue Date

2020-03-01

Receive Date

2019-04-26

Publish Date

2020-03-01

Page Start

32

Page End

35

Print ISSN

2090-0740

Online ISSN

2090-3405

Link

https://ejentas.journals.ekb.eg/article_73441.html

Detail API

https://ejentas.journals.ekb.eg/service?article_code=73441

Order

8

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 Cause of Retropharyngeal Abscess: Cervical Pott’s Disease

Details

Type

Article

Created At

22 Jan 2023