Tuberculosis of the parapharyngeal space: A rare case report

Rao, Malini Jagannatha; Gowda, Ramya Sablur Narayan; Umapathy, B L; Navaneeth, B V

doi:10.4103/0377-4929.125400

Cited by 7 publications

(3 citation statements)

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“…It can have varied presentation, from previous case reports,most of the cases reported are associated with pott's spine, tubercular lymphadenitis,as an extension to parapharyngeal and prevertebral spaces,as a part of disseminated koch's along with pulmonary TB and multiple bone and joint TB. [8][9][10][11][12][13][14] The clinical features range from dysphagia, neck swelling , paraparesis when associated with pott's spine, airway compromise,respiratory distress, with one case report presenting as horner's syndrome. [15][16][17] The diagnosis involves careful history, clinical examination, CT/MRI head and neck along with spine for the extent of abscess.…”

Section: Case Reportmentioning

confidence: 99%

A rare case of disseminated tuberculosis presenting as multiple visceral abscesses: retropharyngeal abscess, epidural abscess, pulmonary Koch’s, hepatic granuloma and splenic abscess

Sharma

2024

Int J Contemp Pediatr

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Extrapulmonary TB can present with plethora of clinical signs and symptoms, the spectrum of which remains boundless. Retropharyngeal abscess, epidural abscess, splenic abscess, hepatic granuloma are rare presentations of extrapulmonary TB which requires paramount clinical expertise for diagnosis and timely management thereby preventing dangerous complications. Here is a case report of a 6 year old boy presenting with 2 months history of fever, neck pain and swelling, difficulty in swallowing solid food, restricted neck movements, weight loss and family history of TB contact. Examination revealed bilateral jugulodigastric (level I and II) cervical lymphadenopathy (around 2×2 cm), neck rigidity and a paramedian bulge over posterior pharyngeal wall (measuring 3×3 cm), the inferior extent of which was difficult to visualize on oral cavity examination. Patient was worked up keeping in mind the high possibility of TB, radiography and ultrasonography of neck confirmed the presence of retropharyngeal abscess. CECT neck, chest and abdomen was done to find the extent of lesion and to look any other evidence of tuberculosis which revealed presence of retropharyngeal abscess, epidural abscess, pulmonary Koch’s, hepatic granuloma and splenic abscess with features s/o tuberculosis. He was started on ATT on clinico-radiological basis, his abscess was drained and cheesy material and pus were sent for microbiological and histo-pathological examination, although microbiological evidence was non-contributory, histopathology confirmed tuberculous retropharyngeal abscess. This case reporting was done to elicit the rare presentation of EPTB and the need of high degree of clinical suspicion for early diagnosis and timely treatment to prevent future complications.

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Section: Case Reportmentioning

confidence: 99%

A rare case of disseminated tuberculosis presenting as multiple visceral abscesses: retropharyngeal abscess, epidural abscess, pulmonary Koch’s, hepatic granuloma and splenic abscess

Sharma

2024

Int J Contemp Pediatr

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“…[ 13 ] TRA developing in the absence of cervical spine TB is extremely rare, and only a handful of cases have been reported from India [ Table 1 ]. [ 9 14 15 16 17 ] Four of these five previously reported cases had TB reported at other sites as well, and pus culture was the technique for a confirmatory diagnosis.…”

Section: Brief Review Of Topicmentioning

confidence: 99%

Retropharyngeal SOL: An unusual presentation of a multifaceted entity

et al. 2018

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“…Parapharyngeal abscesses (PPA) are deep neck abscesses involving the parapharyngeal space secondary to dental infections, tonsillar/peritonsillar infections, tuberculosis, foreign body in the oropharynx, skin infections and trauma . Drainage can be carried out externally from the neck under ultrasound guidance or internally by incision and drainage at the prominence of the PPA in the oral cavity.…”

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confidence: 99%