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儿童颈部疼痛可能由咽后脓肿引起。

[Neck pain in children can be caused by a retropharyngeal abscess].

作者信息

Schoos Ann-Marie Malby, Damgaard Bodil, Jeppesen Eva Mosfeldt

机构信息

Børneafdelingen, Herlev Hospital, Herlev Ringvej 75, 2730 Herlev, Denmark.

出版信息

Ugeskr Laeger. 2012 Aug 27;174(35):2000-1.

Abstract

A six-year-old boy presented with fever, neck pain, and ear pain. Within days, the motility of his neck limited, his temperature rose, and blood samples showed signs of infection. On suspicion of cervical spondylodiscitis, a bone scintigraphy was performed, but gave negative results. A magnetic resonance imaging of the neck area showed results, which led to the diagnosis of a retropharyngeal abscess. This case is a reminder that retropharyngeal abscess poses a diagnostic challenge for the physician, and that the prognosis is potentially serious.

摘要

一名六岁男孩出现发热、颈部疼痛和耳部疼痛。数天内,他颈部的活动受限,体温升高,血液样本显示有感染迹象。怀疑为颈椎间盘炎,进行了骨闪烁扫描,但结果为阴性。颈部区域的磁共振成像显示了结果,从而诊断为咽后脓肿。该病例提醒医生,咽后脓肿对诊断构成挑战,且预后可能很严重。

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