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Vol. 62. Issue 5.
Pages 398-400 (September - October 2011)
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Vol. 62. Issue 5.
Pages 398-400 (September - October 2011)
Case study
Cervical Vertebral Tuberculosis Simulating a Peritonsillar Abscess
Tuberculosis vertebral cervical simulando un absceso periamigdalino
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2380
Franklin Mariño-Sánchez
Corresponding author
franklinmarino@gmail.com

Corresponding author.
, Elena Rioja, Michalina Rusiecka, Isam Alobid
Servicio de Otorrinolaringología, Hospital Clínic de Barcelona, Barcelona, Spain
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Abstract

We report the case of a 28-year-old woman initially diagnosed with a left peritonsillar abscess, which was drained, resulting in clinical relief. Twelve days later, a bulge was observed in the posterior pharyngeal wall. CT and MRI showed a tumour with destruction of atlas lateral mass, with a soft tissue component in prevertebral, retropharyngeal, left carotid, and paraspinal spaces. Biopsy and microbiological study confirmed the presence of Mycobacterium tuberculosis. Therapy was initiated with isoniazid, pyrazinamide, rifampicin, and ethambutol, an occipitocervical-C1–C2 arthrodesis was performed, and the patient improved successfully.

Keywords:
Tuberculosis
Pott's disease
Peritonsillar abscess
Resumen

Presentamos el caso de una mujer de 28 años diagnosticada inicialmente de absceso periamigdalino izquierdo, obteniendo mejoría tras drenaje. Doce días después presentó abombamiento de pared posterior faríngea. La TC y RMN mostraron una tumoración que destruía la masa lateral del atlas con componente de partes blandas en espacios prevertebral, retrofaríngeo, paraespinal y carotídeo izquierdos. La biopsia y el estudio microbiológico confirmaron la presencia de Mycobacterium tuberculosis. Se inició tratamiento con isoniazida, pirazinamida, rifampicina y etambutol, así como fijación-artrodesis occipitocervical C1-C2, y la paciente evolucionó satisfactoriamente.

Palabras clave:
Tuberculosis
Mal de Pott
Absceso periamigdalino

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