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[Cold parapharyngeal abscess in spondylodiscitis].
H Kooli1, M Marreckchi, M Tiss
1Service ORL, EPS Charles Nicolle, Bvd 9 avril 1936, 1006 Tunis, Tunisie. koolih@excite.com
Presse Medicale (Paris, France : 1983)
|February 24, 2001
Summary
Tuberculosis is a rare cause of parapharyngeal abscesses. Early diagnosis of spinal tuberculosis is crucial for successful treatment of these rare but serious infections.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Spinal Surgery
Background:
- Pharyngeal abscesses pose a significant risk of airway compromise due to potential rupture.
- While pyogenic infections are common causes, tuberculosis is a rare etiology.
- This report details two cases of parapharyngeal abscesses associated with tuberculous spondylodiscitis.
Observation:
- Two patients, a 54-year-old woman and a 19-year-old man, presented with slowly progressing laterocervical and oropharyngeal swelling.
- Computed tomography revealed abscess formation and concurrent spinal disease in both individuals.
- Histopathological examination of abscess drainage confirmed tuberculosis.
Findings:
- Tuberculous spondylodiscitis can manifest as a parapharyngeal abscess.
- Prompt diagnosis through biopsy and advanced imaging (MRI) is essential.
- Successful management involves appropriate medical treatment.
Implications:
- Clinicians should consider spinal tuberculosis in patients with unexplained, slowly progressing parapharyngeal abscesses.
- Magnetic resonance imaging aids in early detection of spondylodiscitis.
- Effective medical therapy can lead to resolution of both abscess and spinal lesions.