Abstract

A case report of a 31 yr old young male presenting with history of RE ptosis from 21 days. On examination, anisocoria ( RE miosis) was noted, on further examination right side neck mass was noted. Patient was advised CECT neck & was referred to medical college, where his abscess was drained and was started on systemic treatment. Whearas CECT showed well defined lobulated thick walled hypodense cystic lesion with mild peripheral wall enhancement and internal septations seen involving the right parapharygeal space. Routine investigations showed leucocytosis(WBC-12810) with neutrophilic predominance, whereas LFT,RFT & RBS was WNL.& was diagnosed as parapharyngeal abscess. After drainage sample was sent for pathology- showed abscess features, serum ADA was negative & gene expert was negative. On followup after 1 month significant improvement in ptosis was observed. These infections generally occur due to a prior throat infection or an infection of dental origin that need timely management