A Severe Sore Throat in a Middle-Aged Man: Calcific Tendonitis of the Longus Colli Tendon

Kanzaria, Hemal K.; Stein, John C.

doi:10.1016/j.jemermed.2008.01.016

Cited by 8 publications

(6 citation statements)

References 18 publications

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“…The case described here presented with the characteristic triad of severe neck pain, neck stiffness and dysphagia and/or odynophagia [8]. However, our patient did not have the lowgrade fever found in other cases.…”

Section: Discussioncontrasting

confidence: 50%

An Unusual Cause of Neck Pain: Acute Calcific Tendinitis of the Longus Colli

Rodrigue

2014

J Med Cases

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Calcific tendinitis of the longus colli muscle is a rare, but probably underrecognized form of calcium hydroxyapatite deposition disease. Patients present with severe neck pain, neck stiffness, odynophagia and mildly elevated inflammatory markers. This self-limited condition can easily mimic other serious diseases, such as retropharyngeal abscess, meningitis, infectious spondylodiscitis or cervical fracture. It is therefore important to promptly recognize this benign disease to avoid unnecessary and invasive tests and procedures. We present the case of a 34-year-old woman who developed acute calcific tendinitis of the longus colli following a tick bite to the neck.

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Section: Discussioncontrasting

confidence: 50%

An Unusual Cause of Neck Pain: Acute Calcific Tendinitis of the Longus Colli

Rodrigue

2014

J Med Cases

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“…A definitive diagnosis can be established using CT, which typically reveals prevertebral calcification anterior to C1 and C2, corresponding to the longus colli muscle, and prevertebral soft-tissue swelling between C1 and C4. [ 11 ] Medical management includes the administration of nonsteroidal anti-inflammatory drugs together with narcotic analgesics as needed, which was sufficient to relieve the symptoms of the two patients in our study.…”

Section: Discussionmentioning

confidence: 99%

Features of prevertebral disease in patients presenting to a head and neck surgery clinic with neck pain

Jalisi

Sakai

Jamal

et al. 2017

Ann Maxillofac Surg

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Introduction:Untreated prevertebral space infections, which can be overlooked because of connections with surrounding spaces, may lead to spinal epidural accumulations that cause cord compression. The aim of this study was to analyze the epidemiologic and diagnostic features of cases of prevertebral disease encountered by head and neck specialists.Materials and Methods:The study was designed as a retrospective chart review of 11 patients with prevertebral disease who presented to a head and neck surgery specialist for consultation from 2004 to 2010. Epidemiologic characteristics, clinical signs, diagnostic modalities, time to diagnosis, treatment, and final outcome were analyzed.Ethical Approval:This article does not contain any studies with human participants or animals performed by any of the authors.Results:Seven patients were diagnosed with prevertebral abscess, two with prevertebral cellulitis, and two with calcific cervical tendonitis. The most common presenting signs were neck pain (100%), odynophagia (54%), dysphagia (36%), neck rigidity (36%), fever (27%), and back pain (9%). Five patients (45.5%) showed a bulge on the posterior pharyngeal wall. Four patients with prevertebral abscess showed epidural accumulations on magnetic resonance imaging. Patients with prevertebral abscess and cellulitis were treated with surgical drainage or intravenous antibiotics or both while patients with calcific cervical tendonitis were treated with anti-inflammatory and pain medications. Ten patients were cured, and one with multiple comorbidities succumbed to the disease.Conclusion:Clinicians should have a high index of suspicion of prevertebral abscess or cellulitis in patients presenting with neck pain, fever, dysphagia, and limited range of motion of the neck. Head and neck specialists may be the first to encounter and diagnose this highly morbid disease.

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“…Retropharyngeal calcific tendinitis (RCT), which is a little known but not an uncommon condition, should be considered as a differential diagnosis of neck pain. [ 1 2 ] Here, we present two cases of RCT admitted to our emergency department (ED) with neck pain.…”

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confidence: 99%