Tuberculosis with prevertebral abscess

Case contributed by A.Prof Frank Gaillard

Presentation

This patient is immunocompromised, presenting with acute neck pain and fever.

Patient Data

Age: 30-40
Gender: Male

The lateral cervical radiograph shows gross widening of the prevertebral space, causing displacement of the tracheal shadow anteriorly.

Case Discussion

The prevertebral space is formed by prevertebral fascia which surrounds the prevertebral muscles. Any mass or inflammation in this space displace the prevertebral muscles anteriorly. This is a very crucial sign in the differentiation of prevertebral space abnormalities from retropharyngeal space

The CT reconstruction is very useful in exact localization and shows displacement of prevertebral muscles anteriorly by a heterogenous, predominently cystic mass. This was confirmed as tuberculous abscess post-surgery.

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Case information

rID: 8630
Case created: 18th Feb 2010
Last edited: 24th Nov 2015
System: Head & Neck
Tag: tb
Inclusion in quiz mode: Included

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