A challenging diagnosis in a patient with Odynophagia
1Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, Italy, 2Department of Experimental Biomedicine and Clinical Neurosciences, School of Medicine, Neurosurgical Clinic, University of Palermo, Palermo, Italy, 3 ENT Department of the University of Palermo, Italy.
International Journal of Case Reports · 2021-01
Abstract
Tuberculous retropharyngeal abscesses are rare but potentially life-threatening manifestations of tuberculosis. We present herein a case of an 18-year-old male patient, a migrant from Somalia, accusing fever, odynophagia and neck pain. CT scan and MRI study of the neck showed a retropharyngeal and prevertebral abscess from C1 to D1 with the involvement of epidural space and spondylitis. Resolution of the abscess with few signs of residual spondylitis was achieved after surgical evacuation and antitubercular treatment.
MeSH terms
- Odynophagia
- Medicine
- Spondylitis
- Retropharyngeal abscess
- Neck pain
- Tuberculosis
- Abscess
- Retropharyngeal space
- Radiology
- Surgery
- Computed tomography