 |
|
Radiology Quiz Case 2
Elena Daniel, MD;
Christopher S. Whang, MD;
Jacob T. Cohen, MD
Wake Forest University School of Medicine, Winston-Salem, NC
Arch Otolaryngol Head Neck Surg. 2004;130:480.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
A 46-year-old man presented with a 3-day history of a toothache, sore throat, decreased appetite, fevers, chills, and halitosis. His symptoms failed to improve with antibiotic therapy, and he was noted to have altered mental status and difficulty with breathing. His medical history was significant for poorly controlled diabetes mellitus, hypertension, seizures, pancreatitis, and tobacco and alcohol abuse.
On physical examination, subcutaneous crepitus was palpable in the anterior aspect of the neck. Examination of the oral cavity revealed multiple carious teeth. Transnasal fiberoptic laryngoscopy demonstrated necrotic tissue in the nasopharynx, extending into the posterior pharynx to the level of the soft palate, with a normal-appearing larynx. The patient acutely developed airway obstruction and required intubation for airway protection. A lateral x-ray film of the neck, obtained on arrival to the emergency room, showed soft tissue emphysema involving the paratracheal . . . [Full Text of this Article]
RELATED ARTICLE
Radiology Quiz Case 2—Diagnosis
Arch Otolaryngol Head Neck Surg. 2004;130(4):482-483.
EXTRACT
| FULL TEXT
|
