Cho Wai Sum, Nistor Mihaela, Ubayasiri Kishan, Johnston Mark
Department of Otorhinolaryngology, Derby Teaching Hospitals NHS Foundation Trust, Derby, UK.
BMJ Case Rep. 2018 Jan 17;2018:bcr-2017-222813. doi: 10.1136/bcr-2017-222813.
A 7-month-old boy presented to the emergency department with reduced oral intake, neck swelling and fever. Clinical examination revealed a 3 cm left parotid and left level I neck swelling with left medialised tonsil but no trismus. Computed imaging confirmed the presence of an abscess in the peritonsillar area with extension into the parapharyngeal space and deep lobe of the parotid gland. The abscess was incised and drained transorally. Following drainage of the abscess, a small 3 mm suspicious foreign body was seen. After extraction, this was revealed to be a 60 mm feather. We would like to highlight this unusual case in an infant and to ensure that foreign body is considered as aetiology. There are only a handful of cases in the literature involving feathers causing neck abscesses and, to our knowledge, this is the first case where the patient presented with a pharyngeal abscess, which was drained transorally.
一名7个月大的男童因口腔摄入量减少、颈部肿胀和发热被送往急诊科。临床检查发现左侧腮腺有一个3厘米的肿块，左侧颈部I区肿胀，左侧扁桃体向内侧移位，但无牙关紧闭。计算机成像证实扁桃体周围区域存在脓肿，并延伸至咽旁间隙和腮腺深叶。脓肿经口切开引流。脓肿引流后，发现一个3毫米的可疑小异物。取出后，发现是一根60毫米的羽毛。我们想强调这例发生在婴儿身上的不寻常病例，并确保将异物视为病因。文献中仅有少数几例涉及羽毛导致颈部脓肿的病例，据我们所知，这是第一例患者出现咽脓肿并经口引流的病例。
