Evidence map›Paper›PMID 42135858›Full record

ArticleJournal of medical case reports2026

Retropharyngeal abscess revealing Granulomatosis with polyangiitis GPA (Wegener's): a case report.

Amal Hajjij, Safa Darouich, Hatim Bensouda Korachi, Saïd Anajar, Abir Allaoui, Nawal Bouknani, Mustapha Essaadi, Khalid Snoussi

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of medical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Amal HajjijOtolaryngology and Head and Neck Surgery Department, Cheikh Khalifa International University Hospital HUICK, Mohammed VI University of Sciences and Health, Mohammed Taïeb Naciri, Hay Hassani, 20000, Casablanca, Morocco.
Safa DarouichOtolaryngology and Head and Neck Surgery Department, Cheikh Khalifa International University Hospital HUICK, Mohammed VI University of Sciences and Health, Mohammed Taïeb Naciri, Hay Hassani, 20000, Casablanca, Morocco. safadrh@gmail.com.ORCID http://orcid.org/0009-0007-0813-5371
Hatim Bensouda KorachiOtolaryngology and Head and Neck Surgery Department, Cheikh Khalifa International University Hospital HUICK, Mohammed VI University of Sciences and Health, Mohammed Taïeb Naciri, Hay Hassani, 20000, Casablanca, Morocco.
Saïd AnajarOtolaryngology and Head and Neck Surgery Department, Cheikh Khalifa International University Hospital HUICK, Mohammed VI University of Sciences and Health, Mohammed Taïeb Naciri, Hay Hassani, 20000, Casablanca, Morocco.
Abir AllaouiDepartment of Internal Medicine, Cheikh Khalifa International University Hospital HUICK, Mohammed VI University of Sciences and Health UM6SS, Casablanca, Morocco.
Nawal BouknaniDepartment of Radiology, Cheikh Khalifa International University Hospital HUICK, Mohammed VI University of Sciences and Health UM6SS, Casablanca, Morocco.
Mustapha EssaadiOtolaryngology and Head and Neck Surgery Department, Cheikh Khalifa International University Hospital HUICK, Mohammed VI University of Sciences and Health, Mohammed Taïeb Naciri, Hay Hassani, 20000, Casablanca, Morocco.
Khalid SnoussiOtolaryngology and Head and Neck Surgery Department, Cheikh Khalifa International University Hospital HUICK, Mohammed VI University of Sciences and Health, Mohammed Taïeb Naciri, Hay Hassani, 20000, Casablanca, Morocco.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA retropharyngeal abscess (RPA) is an infection that develops in the deep spaces of the neck, more common in children under five due to their prominent lymph nodes. However, it can also occur in adults. To our knowledge, Case reports of RPA revealing Granulomatosis with polyangiitis (GPA) (Wegener's) have yet not been reported. CASE PRESENTATION: We present a case of a 62-year-old woman, originally from West Africa, with symptoms of sore throat, shortness of breath and otalgia. Imaging was compatible with RPA. Surgical drainage involved endoscopic and oral procedures with biopsies. Culture showed Streptococcus gallolyticus, blood tests revealed positive anti-nuclear antibodies (ANA) and anti-neutrophil cytoplasmic antibodies (C-ANCA) and pathological exam indicated vasculitis lesions. Treatment included broad-spectrum antibiotics, steroids and immunosuppressants.

conclusionsRPA occurs in the space between the buccopharyngeal and alar fascia from the skull base to the posterior mediastinum. Patients with RPA present symptoms including: fever, neck pain, swelling nuchal rigidity, sore throat, cervical lymphadenopathy, respiratory distress or stridor. In some cases, RPA can reveal an underlying disease like GPA, which is a necrotizing vasculitis often revealed by ENT symptoms. Nevertheless, ENT involvement in GPA is associated with better prognosis but more relapses.

Indexed as

Granulomatosis with PolyangiitisRetropharyngeal AbscessStreptococcal InfectionsAnti-Bacterial AgentsAntibodies, Antineutrophil CytoplasmicDrainageFemaleHumansImmunosuppressive AgentsMiddle AgedTomography, X-Ray ComputedTreatment OutcomeAnti-Bacterial AgentsAntibodies, Antineutrophil CytoplasmicImmunosuppressive AgentsGranulomatosis with polyangiitisRetropharyngeal abscessVasculitisWegener’s

Identifiers

PMID42135858
PMCPMC13343651

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.