Fatal case of retropharyngeal abscess associated with Pott's disease

Area of Science:

• Forensic Pathology
• Pediatric Infectious Diseases
• Neurosurgery

Background:

• Retropharyngeal abscesses are deep neck infections typically seen in young children.
• Chronic retropharyngeal abscesses are uncommon and frequently associated with spinal tuberculosis (Pott's disease).

Observation:

• A 13-year-old female presented with a large retropharyngeal cold abscess.
• Symptoms included gradual neck swelling, pain, dysphagia, fever, and inspiratory stridor.
• The abscess led to sudden, fatal airway obstruction.

Findings:

• The case illustrates a rare instance of sudden death caused by airway compromise from a chronic retropharyngeal abscess.
• Pott's disease is identified as the underlying cause, emphasizing the link between spinal tuberculosis and deep neck infections.

Implications:

• This case underscores the critical importance of recognizing and managing chronic retropharyngeal abscesses, even in the absence of typical acute symptoms.
• Forensic pathologists may encounter such rare fatal cases, necessitating awareness of spinal tuberculosis as a potential etiology.
• Prompt diagnosis and intervention are crucial to prevent life-threatening airway obstruction in pediatric patients with Pott's disease.