Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 6, 2021; 9(25): 7535-7541
Published online Sep 6, 2021. doi: 10.12998/wjcc.v9.i25.7535
Surgical treatment of delayed cervical infection and incomplete quadriplegia with fish-bone ingestion: A case report
Suo-Yuan Li, Ye Miao, Liang Cheng, Ye-Feng Wang, Zhi-Qiang Li, Yu-Bo Liu, Tian-Ming Zou, Jun Shen
Suo-Yuan Li, Ye Miao, Liang Cheng, Ye-Feng Wang, Zhi-Qiang Li, Yu-Bo Liu, Tian-Ming Zou, Jun Shen, Department of Orthopaedic Surgery, the Affiliated Suzhou Hospital of Nanjing Medical University; Suzhou Municipal Hospital, Suzhou 215000, Jiangsu Province, China
Author contributions: Li SY and Miao Y contributed equally to this work; Li SY and Miao Y conducted all integrated data, edited the figures and wrote the manuscript; Cheng L helped with the data collection; Wang YF, Li ZQ and Liu YB critically reviewed the manuscript; Zou TM provided essential assistance; Shen J directed this study and gave key advice; All authors read and approved the final manuscript.
Supported by the Key Project of Social Development of Jiangsu province of China - Clinical Frontier Technology, No. BE2017661; the 333 Talents Project of Jiangsu province of China, No. BRA2017057.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016) and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jun Shen, MD, PhD, Professor, Department of Orthopaedic Surgery, the Affiliated Suzhou Hospital of Nanjing Medical University; Suzhou Municipal Hospital, No. 26 Daoqian Street, Suzhou 215000, Jiangsu Province, China. 18112603158@163.com
Received: February 23, 2021
Peer-review started: February 23, 2021
First decision: April 13, 2021
Revised: April 20, 2021
Accepted: May 20, 2021
Article in press: May 20, 2021
Published online: September 6, 2021
Core Tip

Core Tip: We report a rare case of an elderly female patient with delayed cervical infection and incomplete quadriplegia who had a history of fish bone ingestion. We recommend clinicians be aware of this rare condition that can occur without positive computed tomography findings and mediastinitis. In addition, local complete debridement, sufficient use of antibiotics and placement of a gastric tube for nasal feeding played a vital role in infection control and healing of the laryngopharyngeal wall perforation.