頁籤選單縮合
題名 | Cervical Epidural and Retropharyngeal Abscess Induced by a Chicken Bone= |
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作者 | Hsu, Wei-ting; Leu, Yi-shing; Huang, Jon-kway; |
期刊 | International Journal of Gerontology |
出版日期 | 20110900 |
卷期 | 5:3 2011.09[民100.09] |
頁次 | 頁173-176 |
分類號 | 416.89 |
語文 | eng |
關鍵詞 | Abscess; Chicken bone; Epidural abscess; Foreign body; Retropharyngeal abscess; |
英文摘要 | Retropharyngeal abscess is occasionally seen in children, but is less common in adults where it usually occurs secondary to iatrogenic oropharynx trauma or a perforated foreign body in the oropharynx. Spinal epidural abscess in combination with a retropharyngeal abscess, which may cause rapid and irreversible neurological deterioration, is not often found, as indicated by the very few reports in the literature. Here we report a 52-year-old male with a clinical history of seizure and mental retardation since childhood who presented at our emergency room with severe sore throat of 1 day’s duration. A chicken bone was removed successfully. However, he complained of progressive dysphagia, sore throat and posterior neck pain during the following 5 days. Flexible fiber-laryngoscopy showed bulging of the retropharyngeal wall and a small ulcer at the right posterior pharyngeal wall. A neck computed tomography (CT) scan showed a retropharyngeal abscess at the oropharynx and hypopharynx level. His symptoms showed partial improvement after the administration of intravenous antibiotics. However, 2 weeks later he developed high fever, posterior neck pain and flaccid tetra-paresia. Emergent neck CT scan revealed a mild retropharyngeal abscess and epidural abscess formation between the second and third cervical vertebrae. The patient’s family refused drainage of the pre-vertebral and epidural pus. After receiving 2 months of antibiotics, the patient regained the mobility of his limbs |
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