Chia-Hsi Chen1, Ying-Chou Lu2, Tak-Yee Wong3. 1. Department of Emergency Medicine St. Martin De Porres Hospital Chiayi Taiwan. 2. Department of Otolaryngology St. Martin De Porres Hospital Chiayi Taiwan. 3. Department of Diagnostic Radiology St. Martin De Porres Hospital Chiayi Taiwan.
Abstract
Case: We report a case of acute calcific prevertebral tendinitis and discuss the clinical signs, symptoms, and radiologic findings of the disease. Outcome: 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. Conclusion: Generally this disease is benign and may be misdiagnosed as deep neck infection. Drainage on this patient would be considered malpractice.
Case: We report a case of acute calcific prevertebral tendinitis and discuss the clinical signs, symptoms, and radiologic findings of the disease. Outcome: 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. Conclusion: Generally this disease is benign and may be misdiagnosed as deep neck infection. Drainage on this patient would be considered malpractice.
Entities:
Keywords:
Deep neck infection; neck pain; odynophagia; sore throat; tendinitis
Authors: Rhea Victoria B Razon; Asad Nasir; George S Wu; Manal Soliman; Jeffrey Trilling Journal: J Am Board Fam Med Date: 2009 Jan-Feb Impact factor: 2.657