[由咽后脓肿揭示的颈椎结核]
[Cervical Pott's disease revealed by retropharyngeal abscesses].
作者信息
Benhammou A, Bencheikh R, Benbouzid M-A, Boulaich M, Essakali L, Kzadri M
机构信息
Service d'ORL et de chirurgie cervicofaciale, CHU Ibn-Sina, Rabat, Maroc.
出版信息
Rev Stomatol Chir Maxillofac. 2007 Dec;108(6):543-6. doi: 10.1016/j.stomax.2007.03.001. Epub 2007 Jul 5.
INTRODUCTION
Retropharyngeal abscesses are exceptional in adults. The etiologies are numerous, cervical spine tuberculosis is one of them.
OBSERVATION
We report two cases of cervical Pott's disease revealed by a retropharyngeal abscess. The clinical presentation was non-specific, dominated by oropharyngeal obstruction. Radiological findings suggested the diagnosis, showing a retropharyngeal collection with vertebral osteolysis. The bacteriological and histological assessment confirmed the diagnosis. The evolution was favorable after treatment by antituberculosis drugs.
DISCUSSION
Vertebral tuberculosis is rare. Cervical involvement is exceptional, and retropharyngeal abscesses can be the revealing feature of this condition. Symptoms are not specific. The diagnosis is based on radiological and bacteriological assessment. Treatment with antituberculosis drugs leads to a good outcome.
引言
咽后脓肿在成人中较为罕见。病因众多，颈椎结核是其中之一。
病例报告
我们报告两例因咽后脓肿而发现的颈椎结核性骨炎（波特氏病）。临床表现不具特异性，以口咽梗阻为主。影像学检查结果提示了诊断，显示咽后有积液并伴有椎体骨质溶解。细菌学和组织学评估证实了诊断。经抗结核药物治疗后病情好转。
讨论
脊椎结核较为罕见。颈椎受累情况尤为少见，咽后脓肿可能是这种疾病的首发症状。症状不具特异性。诊断基于影像学和细菌学评估。抗结核药物治疗效果良好。
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