A case of cervical Pott’s disease revealed by parapharyngeal abscess
Introduction: We report a case of cervical Pott’s disease revealed by parapharyngeal abscess.
Case report: A seven-year-old boy was admitted with a three-week history of painful fluctuating
left lateral cervical swelling, associated with night sweats. Examination found trismus, through
which a lateral pharyngeal bulge could be observed. Incision and drainage of the abscess on
a combined cervical-oropharyngeal approach was performed under general anesthesia, associated
to non-specific antibiotherapy by parenteral route. Bacteriology was negative. After one
week of antibiotherapy, fever persisted with onset of torticollis. A diagnosis of tuberculosis was
considered. Tuberculin skin test was positive at 16.5mm. A second sample by pharyngeal aspiration
showed caseous pus with acid-fast bacilli. Cervical spine CT found a retrostyloid abscess
with atlantoaxial lysis. Cervical Pott’s disease complicated by Grisel syndrome was diagnosed.
Antituberculosis therapy was initiated. Results at five months’ follow-up were satisfactory.
Discussion/Conclusion: Parapharyngeal abscess with an etiology of Pott’s disease is rare. Modern
imaging is highly contributive to diagnosis and follow-up of lesion regression under treatment.
Auteur(s) : Diom ES, Ndiaye C, Djafarou AB, Ndiaye IC, Faye PM, Tall A, Ndiaye M, Diallo BK, Diouf R, Diop EM.
Pages : 169- 172
Année de publication : 2011
Revue : Annales Françaises d’Oto-Rhino-Laryngologie et de pathologie cervico-faciale. 2011; 128, 3:169-172
N° de volume : 3, 128
Type : Article
Mise en ligne par : TALL Abdourahmane