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Unexpected etiology of dysphagia in an immunocompetent adult


Gastroenterology & Hepatology: Open Access
Salem Bouomrani,1,2 Rym Mesfar,1,2 Fatma Rekik,1,2 Samira M’hamdi,3,4 Salsabil Dabboussi3,4

Abstract

Retropharyngeal abscesses are exceptional in adults. The most common are post-traumatic or foreign-body pyogenic abscesses. Tuberculosis remains a rare and unusual cause of these abscesses, particularly reported if underlying cervical vertebra involvement. Exceptionally, they may be the revealing feature of cervical Pott's disease. They are particularly observed in immunocompromised individuals, whereas they remain exceptional in immunocompetent adults. These abscesses remain an exceptional and unusual cause of dysphagia even in tuberculosis endemic countries, and only a few sporadic cases have been reported. We report an original case of isolated dysphagia revealing a tuberculous retropharyngeal abscess associated with very destructive cervical spondylodiscitis, without any neurological signs, occurring in immunocompetent adult woman.

Keywords

dysphagia, tuberculous retropharyngeal abscess, immunocompetent adult, tuberculosis, pott’s disease, intoxication, fever, dyspnoea, dysphonia, platelets, blood glucose, serum calcium, creatinine, ionogram, transaminases

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