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Neck abscess

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https://www.readbyqxmd.com/read/27900327/migrating-fish-bone-piercing-the-common-carotid-artery-thyroid-gland-and-causing-deep-neck-abscess
#1
Hafizah Husna Johari, Bee-Lian Khaw, Zulkifli Yusof, Irfan Mohamad
Foreign body (FB) ingestion is very common in Malaysian population. The most commonly ingested FB is fish bone. Common presenting symptoms include FB sensation, odynophagia and or sharp pricking pain during swallowing. A careful history and physical examination is very important. Despite negative laryngoscopy and rigid esophagoscopy, persistent symptoms warrants further radiographic imaging studies. The FB can migrate extraluminally and involve other important adjacent structures of the neck and along the digestive tract...
November 16, 2016: World Journal of Clinical Cases
https://www.readbyqxmd.com/read/27896327/a-case-of-mediastinitis-accompanied-with-hyperosmolar-nonketotic-coma
#2
Mazhar Muslum Tuna, Faruk Kilinc, Zafer Pekkolay, Hikmet Soylu, Alpaslan Kemal Tuzcu
Mediastinitis is a serious infection involving mediastinal spaces after cervical infections spread along the facial planes. A late diagnosis of mediastinitis may result in death. Here we present a diabetic patient suffered from mediastinit accompanied with hyperosmolar nonketotic coma. A 61 years old male patient with type 2 diabetes was admitted to our hospital, with complaint of generalized worsening and fever. A diagnosis of nonketotic hyperosmolar coma was done and proper treatment started immediately. Neck tomography revealed abscess formation in the upper mediastinum...
June 2016: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27888830/-giant-retropharyngeal-abscess-in-pediatric-patient-case-report
#3
Ali Oğuz Demir, Ersoy Doğan, Mustafa Cenk Ecevit
A two-year-old girl patient, who presented to another center with three months of sore throat and one month of neck swelling with pain, was initiated antibiotherapy but no healing was achieved. Afterwards, the patient was directed to our clinic and an abscess was detected in magnetic resonance imaging extending in both lateral spaces of the neck. The patient was performed surgical drainage urgently. The wound was dressed with rifampicin and the patient was started parenteral antibiotherapy. A dramatic recovery was observed and no complication occurred in the patient...
September 2016: Kulak Burun Boğaz Ihtisas Dergisi: KBB, Journal of Ear, Nose, and Throat
https://www.readbyqxmd.com/read/27874219/sonographic-appearance-of-pyomyositis-of-the-sternocleidomastoid-muscle-a-case-report
#4
Hiroshi Sakaida, Yasunori Matsuda, Kazuhiko Takeuchi
Pyomyositis in the neck has rarely been described. We present the sonographic findings in a case of pyomyositis of the sternocleidomastoid muscle. A 62-year-old man with poorly controlled diabetes presented with an induration of the neck and fever. On gray-scale sonography, a part of the sternocleidomastoid muscle appeared swollen and contained irregularly shaped hypoechoic areas. Power Doppler imaging showed increased vascularity in the muscle. Sonographic-guided aspiration confirmed abscesses in the sternocleidomastoid muscle...
November 22, 2016: Journal of Clinical Ultrasound: JCU
https://www.readbyqxmd.com/read/27845860/percutaneous-image-guided-cryoablation-of-head-and-neck-tumors-for-local-control-preservation-of-functional-status-and-pain-relief
#5
Jeffrey P Guenette, Kemal Tuncali, Nathan Himes, Paul B Shyn, Thomas C Lee
OBJECTIVE: We report nine consecutive percutaneous image-guided cryoablation procedures of head and neck tumors in seven patients (four men and three women; mean age, 68 years; age range, 50-78 years). Ablation of the entire tumor for local control or ablation of a region of tumor for pain relief or preservation of function was achieved in eight of nine procedures. One patient experienced intraprocedural bradycardia, and another developed a neopharyngeal abscess. There were no deaths, permanent neurologic or functional deficits, vascular complications, or adverse cosmetic sequelae due to the procedures...
November 15, 2016: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/27792979/pretracheal-tuberculous-abcess-mimicking-a-thyroid-swelling-a-case-report
#6
Sambi G Reddy, Jerusha Daggolu
INTRODUCTION: Pretracheal tubercular abscess is a rare presentation of extra pulmonary tuberculosis even in TB- endemic areas (WHO, 2014 [3]). It usually presents in posterior triangle group of lymph nodes (Baskota et al., 2004 [2]). PRESENTATION OF CASE: We report a case of a lower midline swelling in anterior part of the neck of 6 months duration, with dysphagia of 1 month duration. Radiological diagnosis was established as tuberculous abscess and was drained...
October 17, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27765110/-fourth-branchial-cleft-deformity-with-skin-orifice-a-series-of-10-cases
#7
S L Huang, B Zhang, L S Chen, L Liang, X N Luo, Z M Lu, S Y Zhang
Objective: To report rare cases of congenital neck cutaneous sinus with an orifice near the sternoclavicular joint and to investigate their origins and managements. Methods: A total of ten patients with congenital neck cutaneous sinus having an orifice near the sternoclavicular joint treated in the Guangdong General Hospital from January 2010 to June 2015 were retrospectively analyzed. Results: There four boys and six girls, aging from 11 months to 96 months with an average of 33.4 months, and they had a common feature showing a congenital cutaneous sinus with an orifice near sternoclavicular joint...
October 7, 2016: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://www.readbyqxmd.com/read/27697696/basal-cell-carcinoma-mimicking-pilonidal-sinus-a-case-report-with-literature-review
#8
Abdulwahid M Salih, F H Kakamad, Goran M Rauf
INTRODUCTION: Pilonidal sinus is a common benign disease that accounts for almost 15% of anal suppurations while basal cell carcinoma is the most common malignancy of the sun-exposed area occurring mainly on the head and neck. We report a case of basal cell carcinoma presented with signs and symptoms of PNS. A 40-year-old male presented with swelling of the lower back for 2 years. On examination, there was a round, mobile, soft 4×2.5cm mass on the sacrococcygeal area. Ultrasound showed subcutaneous cystic lesion...
September 28, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27680292/large-retropharyngeal-abscesses-in-an-immunocompetent-adult-patient-with-disseminated-tuberculosis
#9
Gerardo Amaya-Tapia, Arturo Rodríguez-Toledo, Sergio Aguilar-Benavides, Guadalupe Aguirre-Avalos
BACKGROUND The retropharyngeal abscess is a rare presentation of head and neck tuberculosis. The pathogenesis of the abscess formation in the retropharyngeal space in the adult is controversial. CASE REPORT We report a case of large retropharyngeal abscesses in a 46-year-old man with disseminated tuberculosis. The patient had severe progressive dysphagia, weight loss, and a slowly enlarging bilateral cervical mass during a period of three months. His posterior pharynx wall was bulging and red, and both tonsils were enlarged and congested...
2016: American Journal of Case Reports
https://www.readbyqxmd.com/read/27679947/single-transverse-extended-incision-for-radical-neck-dissection
#10
José Francisco Sales Chagas, Maria Beatriz Nogueira Pascoal, José Luís Braga Aquino, Luís Antônio Brandi, Evandro Von Zuben Previtale, Ana Sofia Pontes Trillo, Otávio Alberto Curioni, Abrão Rapoport, Rogério Aparecido Dedivitis
OBJECTIVE: to assess the efficacy of the single transverse extended cervical incision in radical neck dissection. METHOD: we conducted a prospective study, from January 2008 to January 2009, with 18 patients undergoing surgical treatment of malignant tumors of the upper aero-digestive tract. The primary lesion was located in the oral cavity in eight cases, in the oropharynx in three, in the hypopharynx in three, in the larynx in two, in the maxillary sinus, and in one case, the primary injury was hidden...
July 2016: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/27660720/coexistence-of-a-ghon-complex-pott-s-disease-and-hip-arthritis-in-a-child
#11
Ozgul Yigit, Meltem Erol, Ozlem Bostan Gayret, Isıl Ustun, Selami Ulas
INTRODUCTION: Tuberculosis remains a major public health problem in developing countries. Diagnosing extrapulmonary tuberculosis can be difficult, as it requires a higher index of suspicion than primary tuberculosis. Extrapulmonary tuberculosis may mimic malignancies and many other diseases, so it should be included in the differential diagnosis. Here, we present a case of extrapulmonary tuberculosis associated with Pott's disease and hip arthritis in a patient who recovered after 12 months of antituberculosis therapy...
July 2016: Iranian Red Crescent Medical Journal
https://www.readbyqxmd.com/read/27637277/large-retropharyngeal-abscess-a-case-of-mistaken-identity
#12
N Makaram, R Gohil, Q Gardiner, J Manickavasagam
We report an unusual case of nasopharyngeal carcinoma (NPC), presenting initially as a retropharyngeal collection. We discuss the investigation, diagnosis and management of NPC and furthermore review the literature of NPC, emphasising the varied presentation. A 44-year-old Caucasian male ex-smoker presented with a 10-day history of a painless left-sided neck lump; progressive dysphagia and unintentional weight loss. Examination demonstrated a large left posterior pharyngeal swelling with soft palatal effacement, confirmed on nasoendoscopy...
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27634410/postoperative-dyspnoea
#13
Jason R Sims, Maurice Enriquez-Sarano, Hector I Michelena
CLINICAL INTRODUCTION: A man in his 50s presented with abscessed aortic valve methicillin-sensitive Staphylococcus aureus endocarditis, received intravenous antibiotics and underwent bioprosthetic aortic valve replacement with removal of all infected tissues. He returned 18 days later with severe dyspnoea, subjective fever and bilateral lower extremity oedema. Physical examination revealed tachypnoea and tachycardia without fever, prominent neck CV waves visible at 90°, left parasternal heave, 3/6 holosystolic murmur across the precordium, lung rales and severe peripheral oedema...
September 15, 2016: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/27628180/a-fatal-case-of-severe-neck-abscess-due-to-a-third-branchial-cleft-fistula-morphologic-and-immunohistochemical-analyses
#14
Fang Tong, Yue Liang, Muhammad Fasahat Khan, Lin Zhang, Wenhe Li, Mohammed Mahmoodurrahman, Yiwu Zhou
BACKGROUND: Branchial cleft anomalies constitute a frequently encountered and commonly non-lethal disease in otolaryngology, and result from aberrant embryonic development. The third branchial cleft fistula is one of the four known specific types of branchial cleft anomalies, and always presents as recurrent neck abscess and suppurative thyroiditis. Here, we report an unexpected death due to severe neck infection following a third branchial cleft fistula. CASE PRESENTATION: A 19-year-old man was sent to the hospital with a 1-week history of recurrent left-sided neck abscess, and was scheduled for incision and drainage of the abscess...
2016: Diagnostic Pathology
https://www.readbyqxmd.com/read/27620549/cervical-facet-joint-infection-and-associated-epidural-abscess-with-streptococcus-intermedius-from-a-dental-infection-origin-a-case-report-and-review
#15
Ian David Kaye, Themistocles S Protopsaltis
Pyogenic cervical facet joint infections are rare and such infections from a dental origin are even less common. Of these few cases, none have described infection with Streptococcus intermedius as the pathogen. A 65-year-old orthopaedic surgeon complained of fevers, right-sided radiating neck pain, stiffness, swelling, erythema, and right upper extremity weakness one month after he had broken a crown over his right mandibular premolar, a continued source of pain. Imaging of the cervical spine showed a right C4-C5 facet inflammatory arthropathy and a small epidural abscess that was cultured and initially treated with intravenous antibiotics...
September 2016: Bulletin of the Hospital for Joint Diseases
https://www.readbyqxmd.com/read/27615268/pharyngo-oesophageal-perforation-following-anterior-cervical-discectomy-and-fusion-management-and-results%C3%A2
#16
Ottorino Perrone, Valentina Tassi, Benedetta Mattioli, Niccolò Daddi, Mariella Uneddu, Ignazio Borghesi, Sandro Mattioli
OBJECTIVES: Pharyngo-oesophageal perforation is a rare, life-threatening complication of anterior cervical discectomy and fusion surgery; its management remains poorly defined. We reviewed our experience to understand the treatment of this dreadful complication. METHODS: Data regarding the demographics, clinical course, diagnosis, management and outcomes of 15 cases of pharyngo-oesophageal perforations in 14 patients were collected during the period from 2003 to 2016...
September 11, 2016: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/27606021/refractory-status-epilepticus-due-to-pneumococcal-meningitis-in-an-infant-with-congenital-immunodeficiency
#17
Sudhakaran Prasanth, Velayudhan Cheruvallil Shaji, Chacko Lyla, Vasudevapanicker Jayalakshmi
Pneumococcal meningitis remains a life-threatening infection, with varied presentations. A 3 month-old-baby with pneumococcal meningitis presented with clusters of seizures evolving into refractory status epilepticus despite standard antibiotic and aggressive anticonvulsant therapy. Progressive illness despite antibiotic initially suggested possible antibiotic resistance and resulted in addition of another antibiotic. Nonresponse to standard treatment and previous history of abscess in the back of neck pointed to some underlying congenital immunodeficiency...
April 2016: Journal of Pediatric Neurosciences
https://www.readbyqxmd.com/read/27576733/deep-neck-cellulitis-limitations-of-conservative-treatment-with-antibiotics
#18
Kazuhiro Hirasawa, Kiyoaki Tsukahara, Ray Motohashi, Minoru Endo, Hiroki Sato, Yuri Ueda, Kazuhiro Nakamura
CONCLUSION: When the parapharyngeal space is infected, concurrent involvement of other spaces is likely, and involvement of multiple deep neck spaces is a key risk factor for abscess formation. OBJECTIVES: Deep neck infection is treated with antibiotics when abscesses have not yet been formed. However, in some cases, abscesses will form later and surgical drainage is warranted. This study retrospectively examined which cases were less likely to achieve cure, to clarify the limitations of conservative treatment for deep neck cellulitis...
August 31, 2016: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/27566300/cervical-spondylodiscitis-following-an-invasive-procedure-on-the-neopharynx-after-circumferential-pharyngolaryngectomy-a-retrospective-case-series
#19
Florent Espitalier, Anne de Keating-Hart, Sylvain Morinière, Jean-Michel Badet, Nathalie Asseray, Christophe Ferron, Olivier Malard
PURPOSE: To highlight cervical spondylodiscitis as an infrequent complication following an invasive procedure on the neopharynx in patients previously treated with circumferential pharyngolaryngectomy with pectoralis major myocutaneous flap reconstruction. METHODS: Patients diagnosed with cervical spondylodiscitis after circumferential pharyngolaryngectomy between 2001 and 2013 were retrospectively studied using a questionnaire sent to the French head and neck tumour study group...
August 26, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27560953/submucosal-abscess-of-the-esophagus-caused-by-piriform-sinus-fistula-treated-with-transoral-video-laryngoscopic-surgery
#20
Satoshi Koyama, Kazunori Fujiwara, Tsuyoshi Morisaki, Takahiro Fukuhara, Katsuyuki Kawamoto, Hiroya Kitano, Hiromi Takeuchi
Piriform sinus fistula (PSF) is a rare branchial anomaly that causes repetitive acute suppurative thyroiditis or deep neck abscess. The definitive treatment of PSF is open neck surgery. However, such surgery has a cosmetic problem and a high risk of recurrence. Furthermore, identifying the fistula is difficult due to previous repetitive infections. We report a case of esophageal submucosal abscess caused by PSF treated with endoscopic mucosal incision. The patient underwent transoral video laryngoscopic surgery (TOVS), and endoscopy as well as fluoroscopy revealed complete closure of PSF without any complication...
August 25, 2016: ORL; Journal for Oto-rhino-laryngology and its related Specialties
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