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Retropharyngeal abscess presenting with acute respiratory distress in a case of cervical spondylodiscitis

S Avcu1, O Unal, A Turan

  • 1Department of Radiology, Yüzüncü Yil University Medical Faculty Van, Turkey. serhatavcu@hotmail.com

B-ENT
|April 28, 2010
PubMed

Insights

Tuberculous spondylodiscitis can cause retropharyngeal abscesses (RPA) and spinal epidural abscesses. Prompt MRI and anti-tuberculous treatment are crucial for effective management and resolution.

Area of Science:

  • Medicine
  • Infectious Diseases
  • Neurosurgery

Background:

  • Retropharyngeal abscesses (RPA) are serious infections that can lead to severe complications.
  • Tuberculous spondylodiscitis is a recognized, though less common, etiology of RPA.

Observation:

  • A 41-year-old male presented with dysphagia, fever, and respiratory distress.
  • Magnetic resonance imaging (MRI) revealed a large retropharyngeal abscess (RPA) extending to the C5-C6 level, C5-C6 spondylodiscitis, and a spinal epidural abscess.

Findings:

  • Emergency surgical drainage of the RPA was performed.
  • A positive tuberculin skin test led to a triple anti-tuberculous drug regimen.
  • Complete resolution of the epidural abscess was observed after six months of drug therapy.

Implications:

  • This case highlights tuberculous spondylodiscitis as a significant cause of RPA.
  • Thorough pre-operative MRI scanning of cervical vertebrae is recommended for suspected RPA.
  • Early diagnosis and appropriate anti-tuberculous therapy are vital for managing these complex spinal infections.

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