Cervical Pott disease presenting as retropharyngeal abscess

Case contributed by Dr M Osama Yonso

Presentation

Complaints of pain in the neck and dysphagia

Patient Data

Age: 46 years
Gender: Male

Lateral view of  neck shows a narrowing at the C3-C4 level with thickening of the soft tissue in front of the cervical column (pre-vertebral soft tissue) containing foci of air (Pott's disease).

Excess bone density  in the occipital bone.

Ultrasound image shows the presence of heterogeneous area in the front of cervical vertebra containing hyper echoic areas indicating the presence of gas,with no blood flow on color doppler 

Narrowing at the C3-C4 level with retropharyngeal abcess containing foci of air 

Case Discussion

Pott disease is a spondylodiscitis of the spine due to tuberculosis. The cervical spine is a less common site for this disease.

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Case information

rID: 26899
Case created: 13th Jan 2014
Last edited: 10th Nov 2015
Inclusion in quiz mode: Included

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