Bullock Richard, Soares Deanne P, James Marsha
Section of Radiology, Department of Surgery, Radiology, Anaesthetics and Intensive Care, University of the West Indies, Kingston, Jamaica.
BMJ Case Rep. 2010 Dec 6;2010:bcr0420102933. doi: 10.1136/bcr.04.2010.2933.
We present a case of a 44-year-old man who visited his general practitioner for recurrent neck swelling, which was found to be a neck abscess. It was aspirated, later recurred, and then surgically excised. Histology was consistent with an infected branchial cyst. Eight months after discharge, the patient presented with a history of progressive neck pain and stiffness and eventually bilateral upper limb weakness. MRI demonstrated a prevertebral abscess complicated by cervical osteomyelitis and atlanto-axial instability. The abscess was drained and appropriate antibiotic treatment was administered. The patient responded well with full recovery of his upper limb strength and resolution of the abscess. However, he had mild persistent neck stiffness.
我们报告一例44岁男性病例，该患者因颈部反复肿胀就诊于全科医生处，发现为颈部脓肿。脓肿经抽吸治疗，之后复发，随后进行了手术切除。组织学检查结果与感染性鳃裂囊肿相符。出院八个月后，患者出现进行性颈部疼痛和僵硬的病史，最终出现双侧上肢无力。磁共振成像（MRI）显示咽后脓肿并发颈椎骨髓炎和寰枢椎不稳。脓肿进行了引流，并给予了适当的抗生素治疗。患者恢复良好，上肢力量完全恢复，脓肿消退。然而，他仍有轻度持续性颈部僵硬。
