Rare Presentation of a Common Disease (Tuberculous Retropharyngeal abscess)

The retropharyngeal space lies in the posterior pharyngeal wall between the middle and deep layers of the deep cervical fascia. It extends from the base of the skull to the mediasti-num and frequently serves as a conduit for spread of disease from the neck into the chest. Spinal tuberculosis is the commonest extra pulmonary manifestation of tuberculosis. Clini-cal findings of cervical tuberculosis included neck pain, restricted neck movements, quadri-paresis, radicular manifestations, kyphosis, and sensory disturbance. It should be suspected in an adult person who presents with a destructive lesion of the cervical vertebra and retro-pharyngeal mass. Early diagnosis and treatment are necessary to prevent the serious com-plications of the disease. We present here a 28 years old Indonesian female came to the Ac-cident & Emergency Department, Hamad General Hospital, Doha, Qatar. She was com-plaining from retropharyngeal abscess with extensive C3, C4 vertebra erosion on CT scan. After history taking, clinical examination doing then followed by hematological & radiologi-cal investigations. The patient was admitted to the hospital. Patient treated with trans-oral Incision and Drainage under GA plus anti tubercles medication. Patient improved & fol-lowed for 3 months then she went back for good to here original country