jibi to rinsho
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
A case demonstrating a retropharyngeal abscess of tuberculosis
Asako KISHIMOTOToyohiko MINAMIChiyonori INO
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2006 Volume 52 Issue 5 Pages 284-288

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Abstract
We herein report a case demonstrating a retropharyngeal abscess of tuberculosis that has recently been rarely observed. The case was a 61-year-old female whose chief complaints were an abnormal sensation in the throat and rhinolalia without fever or other general symptoms. An incision of abscess was made under local anesthesia with the patient not in a cephalic position, but in a supine position. We prepared 2 aspirators with one side choked and thus were able to incise and aspirate the pus from the abscess and thus let it flow out completely. The incision was made carefully because the carotid artery sometimes deviates inside. An incision of the retropharyngeal abscess is therefore recommended to be made under local anesthesia, however, we also consider such and incision to be possible even under general anesthesia if great care is taken and also depending on the case. An adult retropharyngeal abscess of tuberculosis is generally known to occur secondarily but this case has been followed carefully as primary occurrence because of the patient's abnormal findings on the cervical or thoracic vertebra.
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