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  Vol. 127 No. 12, December 2001 TABLE OF CONTENTS
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  Clinical Problem Solving: Radiology
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Radiology Quiz Case 2

Menachem Gross, MD; Ron Eliashar, MD; Pierre Attal, MD; Jean-Yves Sichel, MD
Jerusalem, Israel

Arch Otolaryngol Head Neck Surg. 2001;127:1507-1509.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 9-YEAR-OLD BOY was hospitalized with a 7-day history of high fever, gradually developing torticollis, a persistent headache, and pain in the right side of his neck. His medical history was noncontributory. The physical examination revealed right-sided torticollis and bilateral cervical lymphadenopathy, tending more to the right side. The results of the rest of the physical examination were normal. A contrast-enhanced computed tomographic (CT) scan of the head and neck region showed retropharyngeal soft tissue swelling with no ring enhancement. The patient was diagnosed as having deep neck infection. Intravenous injections of crystalline penicillin and metronidazole therapy were initiated, but the fever and the torticollis continued for 5 more days.

The patient was then transferred to our hospital for further evaluation and treatment. On admission, he had a high fever, mild swelling of the right posterior wall of . . . [Full Text of this Article]



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