Atypical Retropharyngeal Abscess of Tuberculosis: Diagnostic Reasoning, Management, and Treatment

被引：1

作者：

Kosmidou, Panagiota ^{[1
,2
]}

Kosmidou, Anastasia ^{[3
]}

Angelis, Stavros ^{[4
,5
,6
]}

Dimitriadou, Paraskevi P. ^{[7
]}

Filippou, Dimitrios ^{[8
]}

机构：

[1] Gen Hosp Thorac Dis, Otolaryngol Head & Neck Surg, Athens, Greece

[2] Univ Patras, Sch Med, Otolaryngol Audiol Neurotol, Patras, Greece

[3] Sotiria Gen Hosp Thorac Dis, Pulmonol, Athens, Greece

[4] Natl & Kapodistrian Univ Athens, Surg Anat, Med Sch, Athens, Greece

[5] Panagiotis & Aglaia Kyriakou Childrens Hosp, Orthopaed, Athens, Greece

[6] Gen Hosp Hellen Red Cross Korgialenio Benakio, Orthopaed, Athens, Greece

[7] Democritus Univ Thrace, Language Literature & Civilizat Black Sea Countri, Komotini, Greece

[8] Natl & Kapodistrian Univ Athens, Surg, Med Sch, Athens, Greece

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2020年 / 12卷 / 07期

关键词：

tuberculosis; retropharyngeal abscess; aspiration; anti-tb chemotherapy;

D O I：

10.7759/cureus.9124

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Retropharyngeal abscess caused by tuberculosis (TB) is an unusual life-threatening disease. We present the case of a patient, mainly complaining about dysphagia, cephalalgia, and neck pain. History, examination, and laboratory data were inconclusive. Diagnostic imaging revealed retropharyngeal abscess with atypical characteristics. Aspiration through the pharynx was performed. The aspirated fluid sent for microscopic examination by polymerise chain reaction (PCR) gene probe, revealed Mycobacterium tuberculosis (MTB). Subsequently, the patient was treated with a standard nine-month anti-TB chemotherapy. The combination of fine-needle aspiration and antitubercular agents was successful. The aim of the present study is to inform the importance of early diagnosis with targeted therapy.

引用

页数：7

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