Medically treated deep neck abscess presenting with occipital headache and meningism

Bon D. Ku; Key Chung Park; Sung Sang Yoon

doi:10.1007/s10194-008-0005-2

Medically treated deep neck abscess presenting with occipital headache and meningism

Bon D. Ku
, Key Chung Park
, Sung Sang Yoon

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

We report a 45-year-old man who presented with fever, acute occipital headache, and neck stiffness. He denied immunocompromised state such as diabetes, cancer or AIDS. Lumbar puncture showed normal cerebrospinal fluid findings in spite of laboratory parameters indicating inflammatory reaction. Magnetic resonance imaging of neck demonstrated wide spread enhancing mass of the deep neck space, leading to the final diagnosis of deep neck abscess. A long course of appropriate antibiotic administration finally resolved the inflammation and resulted in a good clinical outcome without surgical drainage. We postulated that deep neck abscess is an important differential diagnosis in a patient with meningism and medical treatment may be available for immunocompetent deep neck abscess.

Original language	English
Pages (from-to)	47-50
Number of pages	4
Journal	Journal of Headache and Pain
Volume	9
Issue number	1
DOIs	https://doi.org/10.1007/s10194-008-0005-2
Publication status	Published - Feb 2008

Bibliographical note

Funding Information:
This study was supported by a grant of the Clinical Research Fund of the Myongji Hospital, Kwandong University College of Medicine, GyeongGi, Korea.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Deepneck abscess
Medicaltreatment
Meningism

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10.1007/s10194-008-0005-2

Cite this

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title = "Medically treated deep neck abscess presenting with occipital headache and meningism",

abstract = "We report a 45-year-old man who presented with fever, acute occipital headache, and neck stiffness. He denied immunocompromised state such as diabetes, cancer or AIDS. Lumbar puncture showed normal cerebrospinal fluid findings in spite of laboratory parameters indicating inflammatory reaction. Magnetic resonance imaging of neck demonstrated wide spread enhancing mass of the deep neck space, leading to the final diagnosis of deep neck abscess. A long course of appropriate antibiotic administration finally resolved the inflammation and resulted in a good clinical outcome without surgical drainage. We postulated that deep neck abscess is an important differential diagnosis in a patient with meningism and medical treatment may be available for immunocompetent deep neck abscess.",

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author = "Ku, \{Bon D.\} and Park, \{Key Chung\} and Yoon, \{Sung Sang\}",

note = "Funding Information: This study was supported by a grant of the Clinical Research Fund of the Myongji Hospital, Kwandong University College of Medicine, GyeongGi, Korea.",

year = "2008",

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doi = "10.1007/s10194-008-0005-2",

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T1 - Medically treated deep neck abscess presenting with occipital headache and meningism

AU - Ku, Bon D.

AU - Park, Key Chung

AU - Yoon, Sung Sang

N1 - Funding Information: This study was supported by a grant of the Clinical Research Fund of the Myongji Hospital, Kwandong University College of Medicine, GyeongGi, Korea.

PY - 2008/2

Y1 - 2008/2

N2 - We report a 45-year-old man who presented with fever, acute occipital headache, and neck stiffness. He denied immunocompromised state such as diabetes, cancer or AIDS. Lumbar puncture showed normal cerebrospinal fluid findings in spite of laboratory parameters indicating inflammatory reaction. Magnetic resonance imaging of neck demonstrated wide spread enhancing mass of the deep neck space, leading to the final diagnosis of deep neck abscess. A long course of appropriate antibiotic administration finally resolved the inflammation and resulted in a good clinical outcome without surgical drainage. We postulated that deep neck abscess is an important differential diagnosis in a patient with meningism and medical treatment may be available for immunocompetent deep neck abscess.

AB - We report a 45-year-old man who presented with fever, acute occipital headache, and neck stiffness. He denied immunocompromised state such as diabetes, cancer or AIDS. Lumbar puncture showed normal cerebrospinal fluid findings in spite of laboratory parameters indicating inflammatory reaction. Magnetic resonance imaging of neck demonstrated wide spread enhancing mass of the deep neck space, leading to the final diagnosis of deep neck abscess. A long course of appropriate antibiotic administration finally resolved the inflammation and resulted in a good clinical outcome without surgical drainage. We postulated that deep neck abscess is an important differential diagnosis in a patient with meningism and medical treatment may be available for immunocompetent deep neck abscess.

KW - Deepneck abscess

KW - Medicaltreatment

KW - Meningism

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AN - SCOPUS:39549116509

SN - 1129-2369

VL - 9

SP - 47

EP - 50

JO - Journal of Headache and Pain

JF - Journal of Headache and Pain

IS - 1

ER -

Medically treated deep neck abscess presenting with occipital headache and meningism

Abstract

Bibliographical note

UN SDGs

Keywords

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