It could only happen to a doctor--Haemophilus aphrophilus septicaemia complicated by a prevertebral infection after dental work.
A 53 year old man presented with severe neck pain and a flu-like illness; he had recently returned from Sri Lanka and had had dental treatment six days before illness onset. Blood culture showed infection by Haemophilus aphrophilus. Magnetic resonance imaging was performed and exploratory surgery undertaken. The prevertebral cervical fascia was inflamed but no abscess identified. He was treated with antibiotics and made an uneventful recovery.
Department of Gastroenterology, Epsom General Hospital, Surrey, UK. apoullis@sghms.ac.uk
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Poullis
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Gould
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Lim
D003729:Dental Care / Q000009:adverse effects*; D006192:Haemophilus Infections / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019547:Neck Pain / Q000382:microbiology; D010019:Osteomyelitis / Q000175:diagnosis* / Q000382:microbiology; D010820:Physicians; D018805:Sepsis / Q000175:diagnosis*