Vertebral body infection due to esophageal perforation caused by ingestion of fishbone: a case report
Article Category: Case report
Online veröffentlicht: 14. Juli 2020
Seitenbereich: 77 - 79
Eingereicht: 12. Juni 2019
Akzeptiert: 23. Aug. 2019
DOI: https://doi.org/10.2478/fon-2020-0012
Schlüsselwörter
© 2020 Ling-Yun Zhang et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.
Background
Esophageal injury is a common complication of foreign bodies in the upper gastrointestinal tract, but bilateral pleural effusion or vertebral infection is a rare condition due to a swallowed fishbone. It is considerably difficult for a physician to diagnose quickly because of incomplete patient history of foreign bodies ingestion and/or insufficient experiences.
Patient concerns
We describe the case of a 56-year-old man who was admitted to an emergency medical department owing to a low to moderate fever for 7 days. After a series of examinations, the patient was diagnosed with esophageal perforation (EP) caused by a fishbone that was swallowed half a month ago.
Diagnoses
About 12 days after the onset of fever, he was diagnosed with EP based on the gastric endoscopic images combined with histological section and sufficient history of the disease. About 2 months later, the patient has obvious back pain and lack of strength in two legs and was diagnosed with vertebral body infection.
Interventions
Antibiotic therapy, multi-disciplinary team (MDT), and surgical intervention had been exerted.
Outcomes
It is very fortunate for this patient to have a good prognosis due to a timely diagnosis and proper management. Muscle power has attained level 5.
Lessons
Several lessons can be learned from this case; for example, physicians should be alerted to the EP, endoscopic intervention should be prompt, antibiotics should be used regularly, and so on.