Epidural and brain abscess following Pearl Spot fish bone injury

Maramattom, Boby Varkey; Thomas, Bright

doi:10.1212/wnl.0b013e3182617102

Cited by 3 publications

(2 citation statements)

References 2 publications

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“…[12] The development of meningitis following the presence of a foreign body in the retropharyngeal space has rarely been reported in the literature. [10,11,13] In our patient, the diagnosis of meningitis was delayed and it developed secondary to the presence of a chicken bone in the retropharyngeal space. The clinicians were probably misled by the cervical disc hernia and this may have resulted in delayed diagnosis.…”

Section: Discussionmentioning

confidence: 71%

A case of retropharyngeal foreign body causing meningitis

Kutlar¹

2014

Praxis of ORL

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Section: Discussionmentioning

confidence: 71%

A case of retropharyngeal foreign body causing meningitis

Kutlar¹

2014

Praxis of ORL

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“…[10,11] In addition, fish bone injury may also cause retropharyngeal abscess, which may further lead to cervical SEA, [12–15] or even brain abscess [14] (Table 2). SEA is an infection that forms in the space between the bones of the spine and the lining membrane of the spinal cord.…”

Section: Discussionmentioning

confidence: 99%

Thoracic spinal epidural abscess caused by fishbone perforation

Chen

Wang²,

Ni³

2016

Medicine

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Rationale:Ingestion of a fishbone is a common cause of esophageal injury, but spinal epidural abscess (SEA) is a rare condition due to the esophageal penetration by a swallowed fishbone. Prompt diagnosis can be seldom made owing to incomplete patient history taking and difficulties in imaging evidence identification.Patient concerns:We describe the case of a 62-year-old woman who was stuck in her throat by a fishbone, and complained of back pain, paresis of the lower limbs and fever, successively. To our knowledge, this is the first case report that we know of thoracic SEA caused by fishbone perforation.Diagnoses:About 20 days after the onset of severe back pain, she was diagnosed with SEA based on the clinical presentation and imaging findings.Interventions:Antibiotic therapy and rehabilitation therapy were carried out afterwards. However, due to exacerbation of her condition, surgical intervention had to be taken eventually.Outcomes:It is quite unfortunate for this patient to have a poor prognosis due to a delayed diagnosis and an improper management.Lessons:A number of lessons can be learnt from this case.

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Cerebral Abscesses and Osteomyelitis Caused by Fish Bone Impaction on FDG PET/CT Imaging

Zhang¹,

Jiang²,

Mao³

et al. 2018

Clin Nucl Med

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A 50-year-old woman complained postprandial vomiting for 5 days and drowsiness for 3 days. Possible central nervous pathology was suspected clinically. Brain MRI suggested likely brain metastases. For this reason, FDG PET/CT was performed to search the primary malignancy. The images showed abnormal activity not only in the brain, but also in the retropharyngeal region and in the thoracic vertebral body. The lesions were eventually confirmed as infection caused by fish bone impaction that occurred 1 month earlier.

show abstract

Epidural and brain abscess following Pearl Spot fish bone injury

Cited by 3 publications

References 2 publications

A case of retropharyngeal foreign body causing meningitis

A case of retropharyngeal foreign body causing meningitis

Thoracic spinal epidural abscess caused by fishbone perforation

Cerebral Abscesses and Osteomyelitis Caused by Fish Bone Impaction on FDG PET/CT Imaging

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