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Arch Otolaryngol Head Neck Surg. 2009;135(5):518.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Diagnosis: Tubercular retropharyngeal abscess with dysphagia and cervical lymphadenopathy

Retropharyngeal abscess may develop after acute bacterial pharyngitis or other pyogenic infections in the head and neck region. These disorders can cause inflammation of the lymph nodes in the retropharyngeal space, a condition that occurs more commonly in children than in adults. In contrast, retropharyngeal abscess in adults develops as a result of vertebral pyogenic osteomyelitis, tuberculosis of the spine, or external injuries caused by endoscopes or foreign bodies (eg, fish bones).^1-3 Patients with diabetes mellitus or those who are receiving prolonged steroid therapy are predisposed to retropharyngeal abscess.³ The retropharyngeal space is situated between the prevertebral fascia and the buccopharyngeal fascia. It contains loose areolar tissue and a group of lymph nodes.⁴ Tuberculosis of the retropharyngeal space is one of the rare forms of extrapulmonary tuberculosis. A study of 117 patients with head and neck tuberculosis showed only 1 case of retropharyngeal abscess.⁵

The pathogenesis of tubercular retropharyngeal abscess . . . [Full Text of this Article]

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