title: [Spinal-esophageal fistula in a patient treated with concurrent chemotherapy and radiotherapy].
abstract: We present the case of a 56-year-old male patient with a history of glottic carcinoma treated with concurrent chemotherapy and radiotherapy in complete remission, who went to hospital with severe neck pain, upper right limb weakness and dysphagia. Physical examination showed neck stiffness as well. Spondylitis at C6-C7 spinal level with extradural abscess formation was diagnosed by MRI. Barium radiography revealed an esophageal ulcer with a posterior sinus path. Conservative treatment was given with percutaneous gastrostomy and antibiotics. The patient's symptoms improved and the fistula and the abscess had disappeared in the later MRI control studies.
authors.affiliation: Servicio de Otorrinolaringología, Hospital Clínico Universitario Virgen de la Victoria, Málaga, España. alvarocorderoj@gmail.com
authors.forename: Alvaro
authors.initials: A
authors.lastname: Cordero-Jiménez
authors.forename: Rafael
authors.initials: R
authors.lastname: Tenor-Serrano
authors.forename: Carlos
authors.initials: C
authors.lastname: Muñoz-Palza
authors.forename: José Rafael
authors.initials: JR
authors.lastname: Solano-Romero
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002277:Carcinoma / Q000150:complications* / Q000188:drug therapy / Q000532:radiotherapy; D002574:Cervical Vertebrae; D003131:Combined Modality Therapy; D003646:Debridement; D003937:Diagnosis, Differential; D020802:Epidural Abscess / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D004937:Esophageal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005402:Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007822:Laryngeal Neoplasms / Q000150:complications* / Q000188:drug therapy / Q000532:radiotherapy; D008297:Male; D008875:Middle Aged; D011832:Radiation Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D011878:Radiotherapy / Q000009:adverse effects*; D013122:Spinal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013125:Spinal Neoplasms / Q000175:diagnosis / Q000556:secondary; D013166:Spondylitis / Q000150:complications* / Q000188:drug therapy; D014456:Ulcer / Q000150:complications
chemical_list: D000900:Anti-Bacterial Agents