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A case of cervical Pott's disease revealed by parapharyngeal abscess.

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 16.5 mm. 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 ES1, 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 Française d'Oto-rhino-laryngologie
N° de volume : 128
Type : Article
Statut Editorial : publié
Mise en ligne par : DIOUF Raymond