title: A case of calcific retropharyngeal tendinitis: the significance of an early diagnosis.
abstract: The clinical presentation of calcific retropharyngeal tendinitis, a rare entity, can mimic more serious disorders. We describe the case of a 35-year-old man who was referred to us for evaluation of a suspected retropharyngeal abscess. At presentation, the patient reported severe cervical pain and stiffness. He exhibited mild fever, torticollis, and a moderately elevated white blood count; no swelling of the retropharyngeal wall was observed. Based on the results of plain radiography and computed tomography (CT), we diagnosed the patient with calcific retropharyngeal tendinitis. He was treated with a 7-day course of a nonsteroidal anti-inflammatory drug and a 3-day course of a steroid, and he recovered well. We suggest that the true incidence of calcific retropharyngeal tendinitis is actually higher than what is generally believed because this diagnosis is frequently missed. Contrast-enhanced CT can aid in diagnosing calcific retropharyngeal tendinitis. CT should be performed in patients who present with nonspecific symptoms such as severe neck pain, sore throat, odynophagia, and mild fever.
authors: Department of Otolaryngology, Kinki University Faculty of Medicine, Osaka, Japan. kyochankindai@yahoo.co.jp
authors: Kyoichi
authors: K
authors: Terao
authors: Takeshi
authors: T
authors: Kusunoki
authors: Kazunori
authors: K
authors: Mori
authors: Kiyotaka
authors: K
authors: Murata
authors: Katsumi
authors: K
authors: Doi
mesh_terms: D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D002114:Calcinosis / Q000175:diagnosis* / Q000188:drug therapy; D002574:Cervical Vertebrae / Q000473:pathology; D003907:Dexamethasone / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004008:Diclofenac / Q000627:therapeutic use; D042241:Early Diagnosis; D006801:Humans; D008297:Male; D019547:Neck Pain / Q000209:etiology; D010608:Pharyngeal Diseases / Q000175:diagnosis* / Q000188:drug therapy; D010612:Pharyngitis / Q000209:etiology; D052256:Tendinopathy / Q000175:diagnosis* / Q000188:drug therapy; D014057:Tomography, X-Ray Computed; D014103:Torticollis / Q000209:etiology
chemical_list: D000893:Anti-Inflammatory Agents; D000894:Anti-Inflammatory Agents, Non-Steroidal; D004008:Diclofenac; D003907:Dexamethasone