異物迷入の画像診断が困難であった小児頸部膿瘍の1例
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We encountered a case of neck abscess in a child in whom it was difficult to diagnose a retained foreign body by imaging. The patient was a 2-year-old boy with a chief complaint of pain on the right side of the neck. He had fallen with a candy stick in his mouth at home. The next day, the right cervical region gradually became swollen, and he was brought to the emergency room of our hospital. On admission, he had a temperature of 38.2°C, and was not dyspneic. Extraorally, he had a marked swelling of the right submandibular region. Intraorally, an approximately 1-cm laceration was present on the right side of the mouth floor; however, no bleeding or pus discharge was noted, and no evidence of a foreign object was found. Laboratory tests showed a white blood cell count of 25.5×103/μl, and CRP of 6.03mg/dl. CT revealed extensive air in the right submandibular and parapharyngeal spaces and surrounding soft tissues, but no evidence of a foreign body. On the same day, a drip infusion of cefotaxime (1.5g/day) was started. However, fevescence remained thereafter, the right submandibular region remained swollen, and the child showed an exasperation tendency, so CT was performed again. Contrast-enhanced CT showed that an abscess had formed in the submandibular and parapharyngeal spaces where air had been found by CT upon admission. Under a diagnosis of right-sided neck abscess, intra- and extraoral incisions and drainage of the abscess were performed. A large amount of pus was drained from the extraoral incision site. When the laceration was incised, a slightly dissolved, candy-like solid material was drained.
- 特定非営利活動法人 日本口腔科学会の論文
特定非営利活動法人 日本口腔科学会 | 論文
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