[Case of phlegmonous esophagogastritis associated with hypopharyngeal abscess].
A 62-year-old man was admitted to our hospital complaining of sore throat and epigastralgia. Laboratory tests revealed leukocytosis and an elevated CRP level. CT showed a low density area in the right hypopharynx, wall thickening of the esophageal and gastric wall with an intramural low density area. Phlegmonous esophagogastritis associated with hypopharyngeal abscess was diagnosed. The infection was extension and his condition was serious because of his accompanying poorly controlled diabetes. He was successfully treated by antibiotics and drainage of the hypopharyngeal abscess. CT was useful for early diagnosis, confirmation of the extent of inflammation and follow-up.
Shiozawa
Kazue
K
Department of Internal Medicine, Toho University Omori Medical Center, Japan. k.shio@med.toho-u.ac.jp
Watanabe
Manabu
M
Ikoma
Akiko
A
Nagai
Hidenari
H
Iida
Kazunari
K
Ishii
Koji
K
Igarashi
Yoshinori
Y
Sumino
Yasukiyo
Y
Miki
Kazumasa
K
D000038:Abscess / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002481:Cellulitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D048909:Diabetes Complications; D004322:Drainage; D004941:Esophagitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005756:Gastritis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007013:Hypopharynx; D008297:Male; D008875:Middle Aged; D010608:Pharyngeal Diseases / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D013290:Streptococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents