Nasopharyngeal Carcinoma: A Deceptive Presentation as Deep Neck Space Abscess
Published: April 1, 2018 | DOI: https://doi.org/10.7860/JCDR/2018/34082.11369
Raghul Sekar, Vignesh Karunakaran, Arun Alexander
1. Junior Resident, Department of Otorhinolaryngology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
2. Senior Resident, Department of Otorhinolaryngology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
3. Additional Professor and Head, Department of Otorhinolaryngology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
Correspondence
Dr. Vignesh Karunakaran,
Senior Resident, Department of Otorhinolaryngology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondichery-605006, India.
E-mail: raghul8020@gmail.com
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.
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