Tuberculous retropharyngeal abscess associated with spinal tuberculosis well controlled by fine-needle aspiration and anti-tuberculous chemotherapy.

Abstract

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.

• Authors: Kenji Mizumura, Tatsuya Machino, Yoshihiro Sato, Takashi Ooki, Kengo Hayashi, Yoshiko Nakagawa, Makiko Fukunaga, Maki Sato, Kouji Kiyofuji, Shinichi Hayashi, Tomoko Kobayashi, Takayuki Yoshizawa, Noriaki Takahashi, Shu Hashimoto
• Journal: Internal medicine (Tokyo, Japan) (Intern Med) Vol. 49 Issue 12 Pg. 1155-8 ( 2010) ISSN: 1349-7235 [Electronic] Japan
• PMID: 20558934 (Publication Type: Case Reports, Journal Article)

Chemical References

• Antitubercular Agents

Topics

• Aged
• Antitubercular Agents (therapeutic use)
• Biopsy, Fine-Needle
• Cervical Vertebrae (diagnostic imaging)
• Humans
• Male
• Radiography
• Retropharyngeal Abscess (diagnostic imaging, therapy)
• Tuberculosis, Spinal (complications, diagnostic imaging, therapy)