PDF(Pubmed)
Abstract：
Tuberculous retropharyngeal abscess, though rare, poses significant diagnostic and therapeutic challenges due to its atypical presentation. We present the case of a 51-year-old male with a history of drug abuse and inhalational burn injury presented with generalized weakness, sensory deficits, and neurological symptoms. Despite initial negative investigations, subsequent MRI and microbiological studies confirmed a rare case of tuberculous retropharyngeal abscess. The patient underwent urgent drainage and anti-tubercular therapy, experiencing complications such as Candida infection that required prolonged hospitalization and multidisciplinary care. This case underscores the importance of considering tuberculosis in differential diagnosis, especially in patients with unusual presentations and predisposing factors. It highlights the need for comprehensive evaluation, early intervention, and multidisciplinary management to prevent complications and improve outcomes. The case serves to raise awareness among clinicians about this uncommon presentation, emphasizing the need for a high index of suspicion in high-risk individuals and the importance of long-term follow-up and adherence to anti-tubercular therapy.
摘要：
结核性咽后脓肿，虽然罕见，由于其非典型表现，提出了重大的诊断和治疗挑战。我们介绍了一例51岁的男性，有药物滥用和吸入性烧伤的病史，表现为全身无力，感觉缺陷,神经症状。尽管最初的负面调查，随后的MRI和微生物学研究证实了一例罕见的结核性咽后脓肿。病人接受了紧急引流和抗结核治疗,经历并发症，如念珠菌感染，需要长期住院和多学科护理。该病例强调了在鉴别诊断中考虑结核病的重要性，特别是在有异常表现和诱发因素的患者中。突出了全面评价的必要性,早期干预,和多学科管理，以预防并发症和改善结果。该病例有助于提高临床医生对这种罕见表现的认识，强调高危人群需要高怀疑指数，以及长期随访和坚持抗结核治疗的重要性。
