Tuberculous retropharyngeal abscess associated with spinal tuberculosis well controlled by fine-needle aspiration and anti-tuberculous chemotherapy.
We present a rare case of a tuberculous retropharyngeal abscess (RPA) associated with spinal tuberculosis (TB) (Pott's disease). A patient presented with RPA and collapse of the second cervical vertebra. Fine needle aspiration was performed through the pharynx, not only for diagnosis but also for reduction of the abscess. Tuberculous RPA was diagnosed by microbiological tests of the aspirated fluid from the abscess, which was likely to be extended from Pott's disease. Anti-TB chemotherapy after the aspiration proved effective, resulting in the resolution of the abscess. Early diagnosis and treatment are essential in order to prevent life-threatening complications.
Mizumura
Kenji
K
Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine, Tokyo, Japan.
Machino
Tatsuya
T
Sato
Yoshihiro
Y
Ooki
Takashi
T
Hayashi
Kengo
K
Nakagawa
Yoshiko
Y
Fukunaga
Makiko
M
Sato
Maki
M
Kiyofuji
Kouji
K
Hayashi
Shinichi
S
Kobayashi
Tomoko
T
Yoshizawa
Takayuki
T
Takahashi
Noriaki
N
Hashimoto
Shu
S
D000368:Aged; D000995:Antitubercular Agents / Q000627:therapeutic use*; D044963:Biopsy, Fine-Needle; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D011859:Radiography; D017703:Retropharyngeal Abscess / Q000000981:diagnostic imaging* / Q000628:therapy; D014399:Tuberculosis, Spinal / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy
D000995:Antitubercular Agents