A case of retropharyngeal tuberculosis: the simple management of a serious case

Nabil Touiheme; Koutar Cherrabi; Mounir Hmidi; Ismail Nakkabi; Hicham Attifi; Hamza Belatik; Karim Nadour; Ali Elboukhari

doi:10.18203/issn.2454-5929.ijohns20203580

Authors

Nabil Touiheme Department of ENT and CCF, Moulay Ismail Military Hospital in Meknes, CHU, Hassan II Fez, Morocco
Koutar Cherrabi Department of ENT and CCF, Moulay Ismail Military Hospital in Meknes, CHU, Hassan II Fez, Morocco
Mounir Hmidi Department of ENT and CCF, Moulay Ismail Military Hospital in Meknes, CHU, Hassan II Fez, Morocco
Ismail Nakkabi Department of ENT and CCF, Moulay Ismail Military Hospital in Meknes, CHU, Hassan II Fez, Morocco
Hicham Attifi Department of ENT and CCF, Moulay Ismail Military Hospital in Meknes, CHU, Hassan II Fez, Morocco
Hamza Belatik Department of ENT and CCF, Moulay Ismail Military Hospital in Meknes, CHU, Hassan II Fez, Morocco
Karim Nadour Department of ENT and CCF, Moulay Ismail Military Hospital in Meknes, CHU, Hassan II Fez, Morocco
Ali Elboukhari Department of ENT and CCF, Moulay Ismail Military Hospital in Meknes, CHU, Hassan II Fez, Morocco

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20203580

Keywords:

Tuberculosis, Extra-pulmonary, Retro-pharyngeal

Abstract

The challenge in management of chronic retro-pharyngeal abscess lies in its proximity to vascular and neurological structures, the access to the abscess should be possible after evaluation of neurological stability and integrity of vascular structures. Tuberculous chronic retro-pharyngeal abscess is an unusual situation. And due to its scarcity, it is not considered in differential diagnosis which delays its management: this could lead to permanent neurological deficit and higher rates of mortality. This the case of a young 29-year-old male, already undergoing anti-tuberculosis treatment for 2 months for a tuberculous lymphatitis, and no history of immuno-suppression, presenting with a large retropharyngeal abscess, with no neurological symptoms or any other specific symptoms. The management of this disease can be simple provided the diagnosis is not delayed, the patient had no complications, and the follow up is performed by a team: otolaryngologist, a neurosurgeon and a phthisiology specialist.

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Author Biography

Nabil Touiheme, Department of ENT and CCF, Moulay Ismail Military Hospital in Meknes, CHU, Hassan II Fez, Morocco

ENT department

References

Bilge Turk et Al. Retropharyngeal tuberculosis abscess: A case report and review of the literature. Otorhinolaryngol Head Neck Surg, 2018;3(3):13.

Ogah OS, Owolabi MO, Akisanya CO. Cervical spine tuberlosis and retropharyngeal abscess in an adult Nigerian. Ann Trop Med Public Health 2012;5:587-90.

Sinha S, Ekka M. Retropharyngeal abscess as a rare presentation of pulmonary tuberculosis. Lung India. 2015;(3):262.

Rao MJ, Gowda RN, Umapathy B L, Navaneeth B V. Tuberculosis of the parapharybgeal space: A rare case report. Indian J Pathol Microbiol. 2013;56:480-1

Patel, A.B., Hinni, M.L. Tuberculous retropharyngeal abscess presenting with symptoms of obstructive sleep apnea. Eur Arch Otorhinolaryngol,270. 2013;371-374.

Ekka M, Sinha S. Retropharyngeal abscess as a rare presentation of pulmonary tuberculosis. Lung India 2015;32:262-4.