Delayed diagnosis of an upper cervical epidural abscess masked due to crowned dens syndrome.
infectious diseases
medical management
Journal
BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291
Informations de publication
Date de publication:
20 May 2020
20 May 2020
Historique:
entrez:
23
5
2020
pubmed:
23
5
2020
medline:
9
2
2021
Statut:
epublish
Résumé
An 87-year-old Japanese man presented to our hospital with a 5-day history of fever and neck pain. On physical examination, his stiff neck indicated restricted movement, especially on rotation. CT of the head revealed calcification of the atlantoaxial joint consistent with crowned dens syndrome, and celecoxib was started. Four days later, he returned to our emergency department as his neck pain and fever had not improved. Pneumonia and a urinary tract infection were suspected. The day following admission, blood culture results were positive for methicillin-resistant
Identifiants
pubmed: 32439749
pii: 13/5/e235126
doi: 10.1136/bcr-2020-235126
pmc: PMC7247393
pii:
doi:
Substances chimiques
Anti-Bacterial Agents
0
Vancomycin
6Q205EH1VU
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
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pubmed: 23153750
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pubmed: 27190742
Neuroradiology. 1995 Nov;37(8):667-9
pubmed: 8748903