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A Timely Burst: Tuberculous Retropharyngeal Abscess
Winton Chong1,2, S T Loh3, J Kulasegarah1
1Department of Otorhinolaryngology, Universiti Malaya, Kuala Lumpur, Malaysia.
Summary
A rare tuberculous retropharyngeal abscess in an immunocompetent teen ruptured, leading to diagnosis. Acid-fast bacilli in gastric lavage confirmed the extrapulmonary tuberculosis.
Area of Science:
- Medicine
- Infectious Diseases
- Pulmonology
Background:
- Tuberculous retropharyngeal abscess is an uncommon manifestation of extrapulmonary tuberculosis.
- Extrapulmonary tuberculosis can present with diverse and rare clinical scenarios.
Purpose of the Study:
- To report a rare case of a ruptured tuberculous retropharyngeal abscess in an immunocompetent adolescent.
- To highlight the diagnostic utility of gastric lavage in identifying acid-fast bacilli in such cases.
Main Methods:
- Case report of an immunocompetent teenager with a retropharyngeal abscess.
- Diagnostic confirmation through identification of acid-fast bacilli in gastric lavage samples.
Main Results:
- Successful diagnosis of tuberculous retropharyngeal abscess.
- Demonstration of acid-fast bacilli in gastric lavage, confirming tuberculosis.
Conclusions:
- Ruptured tuberculous retropharyngeal abscess, though rare, should be considered in the differential diagnosis.
- Gastric lavage can be a valuable tool for diagnosing extrapulmonary tuberculosis in specific clinical contexts.
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