American Journal of Emergency Medicine 36 (2018) 1127.e5–1127.e7 Contents lists available at ScienceDirect American Journal of Emergency Medicine journal homepage: www.elsevier.com/locate/ajem Case Report Cervical fasciitis and mediastinal abscess in a young healthy female patient undetected on X-ray or ultrasound Meryl M. Abrams, MD , Christopher B. Ponce, MD, Xiao C. Zhang, MD, MS antibody screening test, rapid plasma reagin (RPR) were unremarkable. article i nfo A plain graph was ordered and was unrevealing for any focal abnormal- Article history: ities. Ultrasound of her neck was negative for any lymphadenopathy or Received 16 March 2018 abscess. Computed tomography (CT) of the neck with contrast showed Received in revised form 16 March 2018 diffuse cervical fasciitis with inﬁltration from level of parotid and sub- Accepted 20 March 2018 mandibular glands, extending inferiorly along strap muscles with en- Keywords: hancement of the parotid and submandibular gland (Figs. 1 and 2). A Cervical fasciitis subsequent CT chest with contrast showed a 3.6 cm cystic collection in Mediastinal abscess the anterior mediastinum abutting the aortic arch, concerning for medi- Emergency medicine Infectious disease astinal abscess (Fig. 3). Otolaryngology (ENT) and cardiothoracic surgery were consulted for potential surgical intervention, but given the precar- ious location
The American Journal of Emergency Medicine – Elsevier
Published: Jun 1, 2018
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