Cervical spondylodiscitis from an ingested pin: a case report.
In the pediatric literature, only 1 case of cervical spondylodiscitis from an ingested foreign body is reported and this was caused by a blunt radiolucent foreign body. The authors now describe a unique case of a 13-year-old teenaged boy who presented with neck pain 6 days after accidental ingestion of a sewing pin. Uncomplicated removal of this pin was followed in 36 days by the development of cervical spondylodiscitis that failed conservative management and required surgical debridement and arthrodesis. Physicians should be aware of the possibility of this complication in any patient that presents with neck pain after foreign body ingestion.
Wadie
George M
GM
Division of Pediatric Surgery, Baystate Medical Center, Tufts University School of Medicine, Springfield, MA 01199, USA. geowadie2002@yahoo.com
Konefal
Stanley H
SH
Dias
Mike A
MA
McLaughlin
Mark R
MR
D000059:Accidents; D000293:Adolescent; D019980:Amoxicillin-Potassium Clavulanate Combination / Q000627:therapeutic use; D019072:Antibiotic Prophylaxis; D001860:Bone Plates; D002443:Ceftriaxone / Q000627:therapeutic use; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D002981:Clindamycin / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003680:Deglutition Disorders / Q000209:etiology; D015299:Discitis / Q000209:etiology* / Q000601:surgery; D017586:Diskectomy; D004630:Emergencies; D004866:Equipment Contamination; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000150:complications* / Q000601:surgery; D006801:Humans; D007828:Laryngoscopy; D007830:Larynx / Q000293:injuries / Q000601:surgery; D008297:Male; D019547:Neck Pain / Q000209:etiology; D010068:Oxacillin / Q000627:therapeutic use; D010292:Paresthesia / Q000209:etiology; D010397:Penicillanic Acid / Q000031:analogs & derivatives / Q000627:therapeutic use; D010614:Pharynx / Q000293:injuries / Q000601:surgery; D010878:Piperacillin / Q000627:therapeutic use; D000077725:Piperacillin, Tazobactam Drug Combination; D011859:Radiography; D012008:Recurrence; D017703:Retropharyngeal Abscess / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D013123:Spinal Fusion; D014640:Vancomycin / Q000627:therapeutic use; D014950:Wounds, Penetrating / Q000209:etiology
D000077725:Piperacillin, Tazobactam Drug Combination; D002981:Clindamycin; D014640:Vancomycin; D019980:Amoxicillin-Potassium Clavulanate Combination; D002443:Ceftriaxone; D010397:Penicillanic Acid; D010068:Oxacillin; D010878:Piperacillin