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Middle-Aged Male With Right Neck Pain.

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A 45-year-old man with a history of odontalgia presented to our hospital because of fever, dysphagia, dyspnea, hoarse voice, and right-sided neck pain for 4 days. The physical examination revealed… Click to show full abstract

A 45-year-old man with a history of odontalgia presented to our hospital because of fever, dysphagia, dyspnea, hoarse voice, and right-sided neck pain for 4 days. The physical examination revealed a temperature of 39.4 C (102.9 F) and right-sided neck swelling, redness, and stiffness. Laboratory testing revealed a WBC count of 22.9 10/L. Ultrasonography of the neck was suspicious for thrombosis of the right internal jugular vein. Computed tomography (CT) of the neck and chest showed abscesses involving the right side of the neck and the anterosuperior mediastinum (Figures 1 and 2).

Keywords: aged male; neck pain; right neck; neck; male right; middle aged

Journal Title: Annals of emergency medicine
Year Published: 2017

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