PDF(Pubmed)
Abstract：
An elderly gentleman self-presented to A+E with a 7-day history of significant and progressive left-sided neck pain, swelling and fevers, despite oral antibiotics from his general practitioner. Examination revealed a large left-sided neck mass involving levels 2-5 of the neck that was firm to palpate, with erythematous overlying skin.An urgent CT scan demonstrated a large collection throughout the length of the left sternocleidomastoid muscle (SCM), measuring 13×5.5×4 cm, with extensive adjacent inflammatory change. He was subsequently taken to theatre for washout and debridement, during which the collection was found to be loculated and isolated to the SCM, with surrounding structures spared.Postoperatively, he was managed with intravenous fluids and a total of 2 weeks of intravenous antibiotics. The wound partially dehisced during healing and the cavity was packed with flaminal and regularly dressed with input from the tissue viability team. This was then left to heal by secondary intention and the patient was followed up in clinic over the following weeks to ensure resolution.
摘要：
一位老年绅士自我呈现给A+E，有7天的显著和进行性左侧颈部疼痛的历史，肿胀和发烧,尽管他的全科医生口服抗生素。检查发现左侧颈部有一个大肿块，涉及颈部的2-5级，触诊牢固，皮肤上有红斑。紧急CT扫描显示在左胸锁乳突肌（SCM）的整个长度上有大量聚集，尺寸为13×5.5×4厘米，伴有广泛的邻近炎症改变。随后他被带到剧院进行冲洗和清创，在此期间，发现集合被定位并隔离到SCM，周围的结构幸免。术后,他接受了静脉输液和总共2周的静脉抗生素治疗。伤口在愈合过程中部分开裂，并且腔内充满了火焰，并在组织活力团队的输入下定期穿衣。然后通过次要意图进行治愈，并在接下来的几周内在诊所对患者进行随访以确保解决。
