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Zenker's diverticulum associated with multilevel cervical osteomyelitis
B Frot-Martin1, R Y Carlier, V Morand-Blot
1Department of Radiology, Raymond Poincaré Hospital, Garches, France.
Spine
|May 5, 2001
Summary
This case report details a rare instance of cervical osteomyelitis linked to a Zenker's diverticulum perforation. Successful treatment involved antibiotics and surgical repair of the diverticulum, leading to infection resolution.
Area of Science:
- Medicine
- Infectious Diseases
- Otolaryngology
Background:
- A patient in intensive care with a head injury developed a pyogenic cervical vertebral infection after nasogastric tube feeding.
- This infection occurred four months after initial treatment for a severe head injury.
Observation:
- Clinical and imaging studies revealed diffuse cervical osteomyelitis.
- Investigation of the patient's dysphagia identified a Zenker's diverticulum.
Findings:
- Treatment with antibiotics and surgical management of the Zenker's diverticulum led to the resolution of the cervical infection.
- Radiological imaging confirmed healing of the vertebral infection with subsequent fusion.
Implications:
- This case highlights a unique association between Zenker's diverticulum and cervical osteomyelitis, suggesting direct bacterial contamination.
- Effective management requires prompt antimicrobial therapy and surgical intervention for the diverticulum.