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A Rare Case of Iatrogenic Deep Neck Infection Secondary to Hypopharyngeal Injury Caused by the Transesophageal Echocardiography

Transesophageal echocardiography (TEE) is considered relatively safe but semi-invasive. The hypopharyngeal and esophageal injury is infrequent complication of TEE but could be serious, even life-threatening. We present a case of a 74-year-old man who experienced a deep neck infection secondary to hy...

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Autores principales: Kim, Hyung Yoon, Lee, Sang-Chol, Park, Sung-Ji, Choi, Jin-Oh, Chang, Sung-A, Kim, Sung Mok, Choe, Yeon Hyeon, Oh, Jae K., Park, Seung Woo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Echocardiography 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4595706/
https://www.ncbi.nlm.nih.gov/pubmed/26448827
http://dx.doi.org/10.4250/jcu.2015.23.3.181
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author Kim, Hyung Yoon
Lee, Sang-Chol
Park, Sung-Ji
Choi, Jin-Oh
Chang, Sung-A
Kim, Sung Mok
Choe, Yeon Hyeon
Oh, Jae K.
Park, Seung Woo
author_facet Kim, Hyung Yoon
Lee, Sang-Chol
Park, Sung-Ji
Choi, Jin-Oh
Chang, Sung-A
Kim, Sung Mok
Choe, Yeon Hyeon
Oh, Jae K.
Park, Seung Woo
author_sort Kim, Hyung Yoon
collection PubMed
description Transesophageal echocardiography (TEE) is considered relatively safe but semi-invasive. The hypopharyngeal and esophageal injury is infrequent complication of TEE but could be serious, even life-threatening. We present a case of a 74-year-old man who experienced a deep neck infection secondary to hypopharyngeal injury following TEE. The diagnosis was made because of the subcutaneous emphysema developed 3 hours after TEE. In spite of antibiotics therapy with prolonged fasting, a right parapharyngeal and retropharyngeal abscess was developed 5 days later. With ultrasound-guided drainage of abscess and continuous antibiotic treatment, infection was controlled. The patent underwent mitral valve repair after 14 days of antibiotic therapy. The patient recovered uneventfully. For cardiologists performing TEE, it is required to know complications and their risk factors to minimize hypopharyngeal and esophageal injury.
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spelling pubmed-45957062015-10-07 A Rare Case of Iatrogenic Deep Neck Infection Secondary to Hypopharyngeal Injury Caused by the Transesophageal Echocardiography Kim, Hyung Yoon Lee, Sang-Chol Park, Sung-Ji Choi, Jin-Oh Chang, Sung-A Kim, Sung Mok Choe, Yeon Hyeon Oh, Jae K. Park, Seung Woo J Cardiovasc Ultrasound Case Report Transesophageal echocardiography (TEE) is considered relatively safe but semi-invasive. The hypopharyngeal and esophageal injury is infrequent complication of TEE but could be serious, even life-threatening. We present a case of a 74-year-old man who experienced a deep neck infection secondary to hypopharyngeal injury following TEE. The diagnosis was made because of the subcutaneous emphysema developed 3 hours after TEE. In spite of antibiotics therapy with prolonged fasting, a right parapharyngeal and retropharyngeal abscess was developed 5 days later. With ultrasound-guided drainage of abscess and continuous antibiotic treatment, infection was controlled. The patent underwent mitral valve repair after 14 days of antibiotic therapy. The patient recovered uneventfully. For cardiologists performing TEE, it is required to know complications and their risk factors to minimize hypopharyngeal and esophageal injury. Korean Society of Echocardiography 2015-09 2015-09-24 /pmc/articles/PMC4595706/ /pubmed/26448827 http://dx.doi.org/10.4250/jcu.2015.23.3.181 Text en Copyright © 2015 Korean Society of Echocardiography http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kim, Hyung Yoon
Lee, Sang-Chol
Park, Sung-Ji
Choi, Jin-Oh
Chang, Sung-A
Kim, Sung Mok
Choe, Yeon Hyeon
Oh, Jae K.
Park, Seung Woo
A Rare Case of Iatrogenic Deep Neck Infection Secondary to Hypopharyngeal Injury Caused by the Transesophageal Echocardiography
title A Rare Case of Iatrogenic Deep Neck Infection Secondary to Hypopharyngeal Injury Caused by the Transesophageal Echocardiography
title_full A Rare Case of Iatrogenic Deep Neck Infection Secondary to Hypopharyngeal Injury Caused by the Transesophageal Echocardiography
title_fullStr A Rare Case of Iatrogenic Deep Neck Infection Secondary to Hypopharyngeal Injury Caused by the Transesophageal Echocardiography
title_full_unstemmed A Rare Case of Iatrogenic Deep Neck Infection Secondary to Hypopharyngeal Injury Caused by the Transesophageal Echocardiography
title_short A Rare Case of Iatrogenic Deep Neck Infection Secondary to Hypopharyngeal Injury Caused by the Transesophageal Echocardiography
title_sort rare case of iatrogenic deep neck infection secondary to hypopharyngeal injury caused by the transesophageal echocardiography
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4595706/
https://www.ncbi.nlm.nih.gov/pubmed/26448827
http://dx.doi.org/10.4250/jcu.2015.23.3.181
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