A case of cervical Pott’s disease revealed by parapharyngeal abscess - 22/06/11
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Summary |
Introduction |
We report a case of cervical Pott’s disease revealed by parapharyngeal abscess.
Case report |
A seven-year-old boy was admitted with a three-week history of painful fluctuating left lateral cervical swelling, associated with night sweats. Examination found trismus, through which a lateral pharyngeal bulge could be observed. Incision and drainage of the abscess on a combined cervical-oropharyngeal approach was performed under general anesthesia, associated to non-specific antibiotherapy by parenteral route. Bacteriology was negative. After one week of antibiotherapy, fever persisted with onset of torticollis. A diagnosis of tuberculosis was considered. Tuberculin skin test was positive at 16.5mm. A second sample by pharyngeal aspiration showed caseous pus with acid-fast bacilli. Cervical spine CT found a retrostyloid abscess with atlantoaxial lysis. Cervical Pott’s disease complicated by Grisel syndrome was diagnosed. Antituberculosis therapy was initiated. Results at five months’ follow-up were satisfactory.
Discussion/Conclusion |
Parapharyngeal abscess with an etiology of Pott’s disease is rare. Modern imaging is highly contributive to diagnosis and follow-up of lesion regression under treatment.
Le texte complet de cet article est disponible en PDF.Keywords : Pott’s disease, Retrostyloid abscess, Tuberculosis
Plan
Vol 128 - N° 3
P. 151-153 - juin 2011 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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