Pyogenic spondylodiscitis after transoral surgery for oropharyngeal cancer.
We report the case of a patient with pyogenic spondylodiscitis after transoral surgery for oropharyngeal cancer. The patient was a 66-year-old man with a history of hepatic cell carcinoma, alcoholic cirrhosis, and chronic pancreatitis. The tumor was resected via a transoral approach with concurrent bilateral elective neck dissections. Although the initial postoperative course was uneventful, the patient experienced severe cervical pain because of which he revisited the hospital. The patient was diagnosed with pyogenic spondylodiscitis, according to the results of magnetic resonance imaging. Continuous treatment with parenteral antibiotics and a cervical brace was required for 2 months before all his symptoms and signs diminished. To the best of our knowledge, this is the first reported case of pyogenic spondylodiscitis as a complication of transoral resection for head and neck cancer.
Department of Head and Neck Surgery, National Hospital Organization Kyoto Medical Center, 1-1-1 Fukakusa Mukaihata-cho, Fushimi-ku, Kyoto, Japan. kegohonda@gmail.com
Keigo
K
Honda
Ryo
R
Asato
Jun
J
Tsuji
Tomoko
T
Kanda
Yoshiki
Y
Watanabe
Yusuke
Y
Mori
Takashi
T
Tsujimura
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001799:Blood Sedimentation; D001915:Braces; D002097:C-Reactive Protein / Q000032:analysis; D002437:Cefazolin / Q000627:therapeutic use; D015299:Discitis / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D037981:Neck Dissection; D019547:Neck Pain / Q000209:etiology; D009959:Oropharyngeal Neoplasms / Q000601:surgery*; D011183:Postoperative Complications; D013290:Streptococcal Infections / Q000175:diagnosis / Q000188:drug therapy
D000900:Anti-Bacterial Agents; D002097:C-Reactive Protein; D002437:Cefazolin