Volumineux abcès froid péripottique dorsolombaire

Rakotoson, J.L.; Rakotomizao, Jocelyn Robert; Andrianarisoa, A.

doi:10.1016/j.pneumo.2009.10.007

Cited by 2 publications

(7 citation statements)

References 2 publications

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“…Tuberculous spondylodiscitis, or Pott disease, was first described in 1782 by Sir Percivall Pott. 4 Cervical spine localization is uncommon, representing 3 to 5% of vertebral locations in tuberculosis disease. [3][4][5][6] Presence of a perilesional abscess is classic, spreading to soft paravertebral tissues as a cold abscess in the retropharyngeal space.…”

Section: Discussionmentioning

confidence: 99%

“…4 Cervical spine localization is uncommon, representing 3 to 5% of vertebral locations in tuberculosis disease. [3][4][5][6] Presence of a perilesional abscess is classic, spreading to soft paravertebral tissues as a cold abscess in the retropharyngeal space. 3,4,6 However, airway obstructive retropharyngeal abscess is an exceptional and potentially life-threatening condition.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5][6] Presence of a perilesional abscess is classic, spreading to soft paravertebral tissues as a cold abscess in the retropharyngeal space. 3,4,6 However, airway obstructive retropharyngeal abscess is an exceptional and potentially life-threatening condition. [1][2][3] The clinical picture is nonspecific.…”

Section: Discussionmentioning

confidence: 99%

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Tuberculous retropharyngeal abscess presenting as severe dyspnea

Lame

Loum

Ndiaye

et al. 2020

Int J Otorhinolaryngol Head Neck Surg

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<p>Tuberculous retropharyngeal abscess is an exceptional condition, with high potential of functional morbidity and mortality if not treated appropriately. The authors report a new case of airway obstructive retropharyngeal abscess revealing cervical Pott disease. A 59 years old man presented at Ear, neck and throat (ENT) department with severe acute dyspnea. The history revealed progressive chronic dysphagia associated with asthenia and important weight loss. Physical examination found a state 3 dyspnoeic patient, presenting hyper flexed neck with limited movements. Nasofibroscopy showed a huge retropharyngeal bulge. Computed tomography (CT) scan showed a large retropharyngeal abscess located in front of vertebral spondylodiscitis with anterior dislocation of C4-C5-C6 vertebrae. Trans-oral incision with drainage of the retropharyngeal abscess was performed under general anaesthesia. Bacteriologic assessment of the pus confirmed tuberculosis infection. Anti-tuberculous medication was delivered, associated with spinal stabilization by a rigid cervical collar. Tuberculous retropharyngeal abscess is a very rare condition. Early diagnosis and treatment are necessary to prevent neurological and life-threatening complications. Collaboration between ENTs, anaesthetists, neurosurgeons and infectious disease specialists remains incontournable.</p>

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Tuberculous retropharyngeal abscess presenting as severe dyspnea

Lame

Loum

Ndiaye

et al. 2020

Int J Otorhinolaryngol Head Neck Surg

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“…Au cours des spondylodiscites tuberculeuses, le tableau clinique est peu spécifique [3], entrainant un retard de diagnostic aboutissant ainsi à un volumineux abcès comme c’est le cas de notre patient. Le retard diagnostique fait l’unanimité et se situe entre trois et vingt mois expliquant la fréquence des déficits neurologiques qui sont retrouvés dans des proportions de 20 à 40% [5]. Le long délai de consultation pourrait s’expliqué par le recours au traitement traditionnel en première intention, l’état de pauvreté des patients [5].…”

Section: Discussionunclassified

“…Le retard diagnostique fait l’unanimité et se situe entre trois et vingt mois expliquant la fréquence des déficits neurologiques qui sont retrouvés dans des proportions de 20 à 40% [5]. Le long délai de consultation pourrait s’expliqué par le recours au traitement traditionnel en première intention, l’état de pauvreté des patients [5]. L’hypothèse d’un Mal de Pott avait été évoquée, devant le contexte épidémiologique, clinique, radiographique, biologique et évolutif de notre patient.…”

Section: Discussionunclassified

Abcès froid dorsolombaire révélant un mal de Pott

Kouassi¹,

Yao²,

Sery³

et al. 2017

Pan Afr Med J

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Les abcès froids tuberculeux représentent une forme rare et inhabituelle de tuberculose extra pulmonaire. Nous rapportons un cas d’abcès froid dorsolombaire révélant un mal de Pott sans complications neurologiques chez un patient de 27 ans, présentant depuis 05 mois une tuméfaction dorsolombaire gauche. L’examen du prélèvement à l’issu d’une incision et drainage de l’abcès a permis de confirmer l’origine tuberculeuse. Un traitement antituberculeux de 12 mois permettait une guérison avec une séquelle à type de gibbosité modérée.

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Volumineux abcès froid péripottique dorsolombaire

Cited by 2 publications

References 2 publications

Tuberculous retropharyngeal abscess presenting as severe dyspnea

Tuberculous retropharyngeal abscess presenting as severe dyspnea

Abcès froid dorsolombaire révélant un mal de Pott

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