咽後膿瘍と鑑別を要した頸部化膿性脊椎炎例

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  • A Case of Pyogenic Cervical Osteomyelitis which Needed to be Differentiated from Retropharyngeal Abscess
  • 臨床 咽後膿瘍と鑑別を要した頸部化膿性脊椎炎例
  • リンショウ インゴ ノウヨウ ト カンベツ オ ヨウシタ ケイブ カノウセイ セキツイエンレイ

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<p>Pyogenic spondylitis of the cervical spine is a rare disease and is difficult to diagnose. We report the case of a 77-year-old man who presented with the complaints of occipital neck pain and difficulty in rotating his head. Examination of the throat revealed redness and swelling of the pharyngeal mucosa which led to the suspicion of a retropharyngeal abscess. We performed a trans-oral incision, however, there was no pus, and further examinations, including imaging examinations, revealed the diagnosis of pyogenic spondylitis. In general, swelling of the pharyngeal mucosa is not observed in case of pyogenic spondylitis. Our findings in this patient suggests that pyogenic spondylitis of the cervical spine can cause inflammation of the retropharyngeal space, and consequently, retropharyngeal abscess. For this reason, there is a possibility that posterior pharyngeal abscess without risk factors should be considered as a possibility of spread of inflammation of pyogenic spondylitis.</p>

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