Abstract :
Tuberculosis-related Retropharyngeal abscess (RPA) is uncommon. To our knowledge no cases of multidrug resistance Tuberculosis (MDR-TB) in RPA with multiple skin abscesses have been reported. We report a case of pulmonary TB with multiple abscesses distributed over the extremities as well as RPA which yielded an MDR-TB in a 19-year-old male without overt immune-compromise. CT scan revealed a large RPA on left side extending from Oro-pharyngeal region that was aspirated. A molecular investigation maintained the TB diagnosis. GeneXpert MTB/ RIF performed on the pus, showed rifampicin resistance. Aspiration was used to drain the abscess, and long-term anti-TB treatment was prescribed to our patient.
Keyword :
Extrapulmonary TB, Multidrug resistant tuberculosis, Immunocompetent host, Multiple abscesses.