CASE 290: PARACERVICAL SPINE ABSCESS: Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Woman 30 yo presented cervicalgia and swollen neck.

Chest Xrays: one mass at right of her neck.

Ultrasound detected thyroid gland normal( US1), but retrothyroidal spaces both 2 sides had hypoechoic masses, no vessels  intra mass which were suspected abscesses ( see  US 2:cross-section  at  lower  part of the neck, and US 3:longitudinal scanning of the neck).

MSCT of the neck (CT1 image showing the normal thyroid gland and 2 mass at lateral cervical spine looked like abscess). Frontal  view  and  sagital view detected  osteolytic lesions  at thoracic spine T1.

Ultrasound guided aspiration pus from abscess and detected BK positive in pus analysis.

It was a POTT' abscess of the neck, due to  T1 spine tuberculosis.