Tuberculous Retropharyngeal Abscess Associated with Spinal Tuberculosis Well Controlled by Fine-needle Aspiration and Anti-tuberculous Chemotherapy

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

doi:10.2169/internalmedicine.49.3353

CASE REPORTS

Tuberculous Retropharyngeal Abscess Associated with Spinal Tuberculosis Well Controlled by Fine-needle Aspiration and Anti-tuberculous Chemotherapy

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

Author information

Kenji Mizumura
Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine
Tatsuya Machino
Machino Internal Clinic
Yoshihiro Sato
Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine
Takashi Ooki
Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine
Kengo Hayashi
Aisei Hospital
Yoshiko Nakagawa
Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine
Makiko Fukunaga
Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine
Maki Sato
Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine
Kouji Kiyofuji
Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine
Shinichi Hayashi
Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine
Tomoko Kobayashi
Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine
Takayuki Yoshizawa
Kanamecho Hospital
Noriaki Takahashi
Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine
Shu Hashimoto
Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine

Keywords: tuberculous retropharyngeal abscess, spinal tuberculosis, pott's disease, fine needle aspiration

JOURNAL OPEN ACCESS

2010 Volume 49 Issue 12 Pages 1155-1158

DOI https://doi.org/10.2169/internalmedicine.49.3353

Details

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.

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