Nasopharyngeal Carcinoma: A Deceptive Presentation as Deep Neck Space Abscess MD01-MD03
Dr. Vignesh Karunakaran,
Senior Resident, Department of Otorhinolaryngology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondichery-605006, India.
The presentation of Nasopharyngeal Carcinoma (NPC) can be clandestine and deceptive. The NPC presenting as a deep neck space infection with airway compromise and intracranial extension is a rare occurrence. We report a case of 60-year-old male presenting with headache followed by right sided neck swelling with breathing difficulty with a Computed Tomography (CT) scan revealing a collection in deep neck space and destructive mass in the nasopharynx. We discuss the varied presentation of NPC from a trivial headache till life threatening stridor and furthermore review the literature emphasising on the same.