Inoue Mami, Okamoto Kotaro, Nagao Hikaru, Toyoda Kenichiro
Nihon Jibiinkoka Gakkai Kaiho. 2016 Jul;119(7):962-6.
We report the case a 54-year-old male patient who was admitted to our hospital with a sore throat and evidence of a high inflammatory reaction. Computed tomography revealed a peritonsillar abscess extending from the inferior right tonsil to the cervical esophagus, and thickening of the esophageal wall. The pharyngeal abscess was drained through an intraluminal incision in the mesopharynx. Culture of the abscess fluid showed growth of Streptococcus constellatus, one of the organisms of the Streptococcus milleri group. We diagnosed the patient as having phlegmonous esophagitis secondary to peritonsillar abscess. The inflammation was judged to have extended to the submucosal space of the esophagus from the pharyngeal mucosal space. Since the inflammation was contained within the esophageal wall and did not progress to mediastinitis, critical symptoms did not appear and the patient improved through conservative management with antibiotics
我们报告了一例54岁男性患者，该患者因咽痛及高炎症反应证据入院。计算机断层扫描显示右侧扁桃体周围脓肿从右下扁桃体延伸至颈段食管，食管壁增厚。通过中咽腔内切口引流咽脓肿。脓肿液培养显示星座链球菌生长，其为米勒链球菌组的一种细菌。我们诊断该患者为扁桃体周围脓肿继发的脓性食管炎。炎症被判定从咽黏膜间隙蔓延至食管黏膜下间隙。由于炎症局限于食管壁内，未进展为纵隔炎，未出现严重症状，患者通过抗生素保守治疗后病情好转。
