咽後膿瘍合併非結核性頸椎骨髓炎-病例報告

Retropharyngeal Abscess Complicated by Nontuberculous Cervical Vertebral Osteomyelitis –Case Report

郭玉奇(Je-Chi Kou) ； 婁培人(Pei-Jen Lou) ； 林厚鈞(How-Jium Lin)

《中華民國耳鼻喉科醫學雜誌》 36卷4期 (2001/06) Pp. 252-256

https://doi.org/10.6286/2001.36.4.252

摘要

非結核性頸椎骨髓炎為罕見之疾病，臨床上以咽後膿瘍合併頸椎骨髓炎，則更十分稀少。我們經歷一60歲男性尿病患者，主訴為入院前兩星期頸部與左肩疼痛僵硬，因吞嚥困難與持續發燒而至本院求診。影像學檢查與骨略掃描證實為咽後膿瘍合併頸椎骨髓炎，血液與膿液檢查均為金黃色葡萄球菌。經切開擴創引流手術及抗生素治療，追蹤迄今，病人完全康復，並無任何吞嚥、發聲或神經學上的後遺症。

關鍵字

非結核性頸椎骨髓炎 ； 咽後膿瘍

並列摘要

Nontuberculous cervical osteomyelitis as a complication of a retropharyngeal abscess is exceedingly rare. We encountered a 60-year-old patient who presented with neck stiffness, neck tenderness and dysphagia. Imaging studies confirmed the diagnosis of a retropharyngeal abscess complicated by cervical osteomyelitis. Blood and pus cultures grew staphylococcus aureus. After incision and drainage of the abscess and appropriate antibiotic therapy, the patient was discharged without neurological sequelae. Early diagnosis and prompt, aggressive therapy should minimize complications, residual neurological deficits, and mortality.

並列關鍵字

nontuberculous cervical osteomyelitis, retropharyngeal abscess