Zusammenfassung
Eine 76-jährige Patientin stellte sich mit Fieber sowie einer Rötung, Schwellung und Schmerzen unter dem Kinn vor. Sonographisch und computertomographisch waren submental mehrere Lymphknoten nachweisbar. Es lag eine Submentalphlegmone vor. Diese wurde operativ eröffnet, die Lymphknoten exstirpiert und eine Spüldrainage sowie Antibiose durchgeführt. Die histologische Aufarbeitung des Lymphknotengewebes ergab Hinweise auf eine Riesenzellarteriitis.
Abstract
A 76-year-old woman presented with fever, redness, swelling, and pain under the chin. Some submental lymph nodes were detected by ultrasound and computed tomography. The diagnosis was a submental phlegmon, for which surgery was performed. The lymph nodes were removed, and antibiotic therapy with daily lavage was done. The histology of the lymph nodes suggested giant cell arteritis.
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Goessler, U., Marx, A., Hörmann, K. et al. Fieber, Rötung, Schwellung und Schmerzen submental. HNO 57, 598–602 (2009). https://doi.org/10.1007/s00106-008-1850-7
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DOI: https://doi.org/10.1007/s00106-008-1850-7