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Thursday, 23 January 2014

CASE 232: SORE THROAT AFTER COFFEE DRINKING, Dr PHAN THANH HẢI-Dr TRẦM THỊ TÚ HƯƠNG, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Woman 50 yo more severe sore thoat after drinking black coffee cup, then she came to ENT hospital for endoscopy, CT of the neck: nothing detection while the neck was swelling, painful and fever. It is LEMIERRE's syndrome.




 MEDIC ultrasound of the neck detected on left lobe of thyroid one echo rich line, long of 3 cm, in an abscess and another abscess on right lobe of thyroid also.




Sonologist said it was a toothpick penetrating to the left thyroid gland.

 
WBC rising of 15k with 87% neutro and CRP was  high : 36mg/L.

MRI at the neck was done and detected a black line as the toothpick.




Emergency endoscopy detected the stuck toothpick in the throat and removing it out (see photo).



 This patient was treated with antibiotic and nasogastric feeding.

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