Tuberculous retropharyngeal abscess associated with spinal tuberculosis well controlled by fine-needle aspiration and anti-tuberculous chemotherapy

Abstract

We present a rare case of a tuberculous retropharyngeal abscess (RPA) associated with spinal tuberculosis(TB) (Pott's disease). A patient presented with RPA and collapse of the second cervical vertebra. Fine needleaspiration was performed through the pharynx, not only for diagnosis but also for reduction of the abscess.Tuberculous RPA was diagnosed by microbiological tests of the aspirated fluid from the abscess, which waslikely to be extended from Pott's disease. Anti-TB chemotherapy after the aspiration proved effective, resulting in the resolution of the abscess. Early diagnosis and treatment are essential in order to prevent life threatening complications. © 2010 The Japanese Society of Internal Medicine.