Chen Chia-Hsi, Lu Ying-Chou, Wong Tak-Yee
Department of Emergency Medicine St. Martin De Porres Hospital Chiayi Taiwan.
Department of Otolaryngology St. Martin De Porres Hospital Chiayi Taiwan.
Acute Med Surg. 2014 Nov 21;2(3):199-201. doi: 10.1002/ams2.92. eCollection 2015 Jul.
We report a case of acute calcific prevertebral tendinitis and discuss the clinical signs, symptoms, and radiologic findings of the disease.
This 47-year-old man suffered from neck pain, odynophagia, and sore throat for 2 days. Acute calcific prevertebral tendinitis was noted. This disease, brought on by prolonged minor repetitive tendon injury, is an often overlooked cause of acute neck pain. The typical radiologic appearances of the disease include the calcification of the anterior surface of the C1-C2 spine and smooth soft tissue swelling over the retropharyngeal space.
Generally this disease is benign and may be misdiagnosed as deep neck infection. Drainage on this patient would be considered malpractice.
我们报告一例急性钙化性椎前肌腱炎，并讨论该疾病的临床体征、症状及影像学表现。
该47岁男性颈部疼痛、吞咽痛及咽痛2天。诊断为急性钙化性椎前肌腱炎。此病由长期轻微重复性肌腱损伤引起，是急性颈部疼痛常被忽视的病因。该病典型的影像学表现包括C1 - C2椎体前缘钙化及咽后间隙软组织光滑肿胀。
一般来说，此病为良性，可能被误诊为深部颈部感染。对该患者进行引流将被视为医疗事故。
