Statistics from Altmetric.com
- x-ray computed
- early diagnosis
- infectious diseases and infestations
- head and neck surgery
- radiology and imaging
A previously healthy 77-year-old man presented with difficulty in swallowing saliva following a 4-day history of sore throat. He was dysphonic with an indurated cellulitic fullness in the left lateral aspect of his neck. Nasendoscopy demonstrated ipsilateral pharyngeal wall swelling and contralateral laryngeal deviation. Contrast-enhanced CT examination demonstrated gas and fluid in the pretracheal and left perivascular deep neck spaces (figure 1A), in keeping with infection caused by gas-forming organisms. The gas and fluid tracked into the superior and anterior mediastinum with an associated mediastinal collection (figure 1B). Transcervical drainage confirmed malodorous dishwater-type fluid and grey necrotic …
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.