AI Article Synopsis
- A 57-year-old man experienced painful swallowing for a week and underwent a PET/CT scan to check for possible hypopharyngeal cancer recurrence.
- The scan revealed concerning hypermetabolic areas and intraspinal air, prompting further investigation that showed a severe infection affecting his spinal area.
- He developed quadriplegia and urgently required surgery, but after receiving antibiotics, he recovered and was discharged four months later, with no signs of cancer return.
Article Abstract
A 57-year-old man presented with odynophagia for 1 week was referred for FDG PET/CT scan to rule out recurrent hypopharyngeal cancer. The FDG PET/CT showed hypermetabolic lesions in hypopharyngeal area and adjacent cervical spine with pneumorrhachis, the presence of intraspinal air, on attenuation CT images, which might indicate a life-threatening infection. An emergency MRI confirmed the presence of cervical spondylodiscitis with an epidural abscess. The patient rapidly progressed to quadriplegia and difficulty voiding on the same day as the PET/CT scan, leading to emergent operation. The patient received antibiotics treatment and discharged 4 months later without evidence of cancer recurrence.
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| http://dx.doi.org/10.1097/RLU.0000000000005164 | DOI Listing |
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