Woman 50 yo more severe sore thoat after drinking black coffee cup, then she came to ENT hospital for endoscopy, CT of the neck: nothing detection while the neck was swelling, painful and fever. It is LEMIERRE's syndrome.
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MEDIC ultrasound of the neck detected on left lobe of thyroid one echo rich line, long of 3 cm, in an abscess and another abscess on right lobe of thyroid also.
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Sonologist said it was a toothpick penetrating to the left thyroid gland.
WBC rising of 15k with 87% neutro and CRP was high : 36mg/L.
MRI at the neck was done and detected a black line as the toothpick.
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Emergency endoscopy detected the stuck toothpick in the throat and removing it out (see photo).
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This patient was treated with antibiotic and nasogastric feeding.
REFERENCES:
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MEDIC ultrasound of the neck detected on left lobe of thyroid one echo rich line, long of 3 cm, in an abscess and another abscess on right lobe of thyroid also.
Sonologist said it was a toothpick penetrating to the left thyroid gland.
WBC rising of 15k with 87% neutro and CRP was high : 36mg/L.
MRI at the neck was done and detected a black line as the toothpick.
Emergency endoscopy detected the stuck toothpick in the throat and removing it out (see photo).
REFERENCES:
