魚骨異物に対する民間療法後に深頸部膿瘍に至った1例

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  • 坂田 正行
    堺市立総合医療センター耳鼻咽喉科・頭頸部外科
  • 原田 祥太郎
    堺市立総合医療センター耳鼻咽喉科・頭頸部外科
  • 長井 美樹
    堺市立総合医療センター耳鼻咽喉科・頭頸部外科

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タイトル別名
  • A Case of Deep Neck Abscess Following a Folk Remedy for Fish Bone Migration
  • 症例 魚骨異物に対する民間療法後に深頸部膿瘍に至った1例
  • ショウレイ ギョコツ イブツ ニ タイスル ミンカン リョウホウ ゴ ニ シンケイブ ノウヨウ ニ イタッタ 1レイ

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説明

<p>We frequently encounter cases of fish bone migration, but rarely observe severe complications arising from them. Here, we report a case of a deep neck abscess secondary to cervical esophageal perforation that developed after a folk remedy for fish bone migration. </p><p>A 69-year-old woman visited our hospital complaining of pharyngeal pain that was persistent since the accidental ingestion of a sea bream bone followed by temporary reduction in the severity of the symptoms after swallowing a whole rice cake. The anterior neck was swollen. A blood test detected an inflammatory reaction, and computed tomography revealed a deep neck abscess with a pattern of gas production. </p><p>The patient underwent emergency surgical drainage on the day of the initial examination. Streptococcus milleri, S. mitis, and Prevotella spp., among others, were detected in the pus, indicating a mixed infection. After the surgery, administration of antibiotics and wound cleaning were continued, which resulted in an improvement in her status. </p><p>Although the incidence of a deep neck abscess secondary to accidental ingestion of a foreign body is only 0.3%, there is a possibility that severe complications arise from accidentally ingested foreign matter, as shown in the case presented here. We should also recognize that an erroneous folk remedy for accidental ingestion of a foreign object can also cause severe complications. </p>

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