Acute Prevertebral Calcific Tendinitis
نویسندگان
چکیده
A 74-year-old woman was admitted to our hospital due to a high fever, severe neck pain, and odynophagia for several days. A blood test showed a high white blood cell count and high C-reactive protein levels. Enhanced magnetic resonance image (MRI) showed low-signal calcification on T2weighted imaging in the retropharyngeal space at the C1-C2 level (Picture 1, arrow) with slight prevertebral edema, indicating inflammation of the longus colli muscles (Picture 1, arrow heads). Computed tomography (CT) was subsequently performed, and calcification of the longus colli tendons was confirmed (Picture 2, arrow). Based on these findings, she was diagnosed with acute prevertebral calcific tendinitis (APCT). All of her symptoms gradually improved with the administration of non-steroidal anti-inflammatory medication and local rest using a neck collar. APCT is a rare disease accompanied by severe neck pain and a fever (1, 2). It is important for physicians to be aware of its MRI and CT findings to avoid performing any unnecessary medical and surgical intervention.
منابع مشابه
Acute Prevertebral Calcific Tendinitis.
We present a case of neck pain in a middle-aged woman, initially attributed to a retropharyngeal infection and treated with urgent intubation. With the help of computed tomography, the diagnosis was later revised to acute prevertebral calcific tendinitis, a self-limiting condition caused by abnormal calcium hydroxyapatite deposition in the longus colli muscles. It is critical to differentiate b...
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Acute calcific prevertebral tendinitis, which is also known as retropharyngeal calcific tendinitis and longus colli tendinitis, is an under-recognized cause of acute cervical pain produced by an inflammation of the longus colli muscle. The typical characteristics of this entity are calcifications at the superior insertion of the longus colli tendons at the C1-C2 level and fluid collection in th...
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Calcific tendinitis of the prevertebral muscles is a rare clinical entity. Its nonspecific presenting symptoms (e.g., retropharyngeal space infection) may mimic an infectious etiology. Treatment is based on the administration of a nonsteroidal anti-inflammatory drug (NSAID) for 2 to 3 weeks and cessation of symptom-provoking activity. Most patients will improve greatly within the first 48 to 72...
متن کامل[Acute calcific prevertebral tendinitis: case report and literature review].
Prevertebral calcific tendinitis is an uncommon cause of acute neck pain characterized by the identification of calcifications at C1-C2 level and the presence of a liquid collection at the prevertebral space which causes the displacement of the prevertebral radiographic line in imaging studies. It is very important to identify this rare, benign and self-limiting pathology, in order not to confu...
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عنوان ژورنال:
دوره 56 شماره
صفحات -
تاریخ انتشار 2017