Chest Pain from a Cervical Spine Abscess: A Case Report

胸痛源自於頸脊椎管外膿瘍：個案報告

吳孟書(Meng-Shu Wu) ； 蔡宏杰(Hong-Chieh Tsai) ； 李景行(Ching-Hsing Lee) ； 張玉喆(Yu-Che Chang)

《Journal of Emergency Medicine, Taiwan》 12卷3期 (2010/09) Pp. 95-98

摘要

胸痛是急診患者最常見的主訴之一，由於胸痛原因廣泛，自良性到具潛在性命危險都有可能，診斷急性胸痛仍然是急診室醫師一大挑戰，急診醫師首重立即辨認並排除危及性命之可能因素，然而脊椎因素引起侷限於前胸之疼痛，臨床上表現也可類似具潛在性命危險之胸痛，常見病變位置為下頸椎及上中胸椎，最常見脊椎管外感染位置為腰椎，其次胸椎，頸椎實屬少見。早期正確診斷脊椎感染有助於適當治療及良好預後，本文報告一46歲男性罹患頸脊椎管外膿瘍於急診室主訴胸痛個案，急診醫師在急診室診治胸痛合併四肢癱瘓患者需對此疾病維持高度警覺性。

關鍵字

脊椎管外膿瘍 ； 胸痛 ； 四肢癱瘓 ； 頸椎 ； 急診

並列摘要

Chest pain is one of the most common complaints in the emergency department (ED). Emergency physicians focus on the immediate recognition and exclusion of life-threatening causes of chest pain. However, vertebrogenic pain localized in the anterior thorax can imitate pain related to potentially life-threatening events. Paraspinal abscess of the cervical spine is rare. Early and accurate diagnosis of spinal infections leads to prompt treatment and a favorable outcome for the patient. Herein, we report a 46-year-old male patient with a paraspinal abscess of the cervical spine presenting with chest pain initially, followed by quadriplegia in the ED. Emergency physicians should maintain a high index of suspicion for this disease when treating patients with acute chest pain with acute onset of quadriplegia.

並列關鍵字

paraspinal abscess ； chest pain ； quadriplegia ； cervical spine ； emergency