A challenging diagnosis in a patient with Odynophagia

A challenging diagnosis in a patient with Odynophagia

Claudia Colomba1, Raffaella Rubino1, Rosario Maugeri2, Antonio Anastasia1, Paola Di Carlo1, Federica Paolini2, Riccardo Speciale2, Domenico Gerardo Iacopino2, Antonio Cascio1

1Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, Italy; 2Department of Experimental Biomedicine and Clinical Neurosciences, School of Medicine, Neurosurgical Clinic, University of Palermo, Palermo, Italy; 3 ENT Department of the University of Palermo, Italy.

Tuberculous retropharyngeal abscesses are rare but potentially life-threatening manifestations of tuberculosis. We present herein a case of an 18-year-old male patient, a migrant from Somalia, accusing fever, odynophagia and neck pain. CT scan and MRI study of the neck showed a retropharyngeal and prevertebral abscess from C1 to D1 with the involvement of epidural space and spondylitis. Resolution of the abscess with few signs of residual spondylitis was achieved after surgical evacuation and antitubercular treatment.

Keywords: Retropharyngeal abscess; Odynophagia; Tuberculosis

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Claudia Colomba, Raffaella Rubino, Rosario Maugeri, Antonio Anastasia, Paola Di Carlo, Federica Paolini, Riccardo Speciale, Domenico Gerardo Iacopino, Antonio Cascio. A challenging diagnosis in a patient with odynofagia. International Journal of Case Reports, 2021; 5:207. DOI: 10.28933/ijcr-2021-02-2305


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