PMC7709867_01
Enhanced computerized tomography (CT) of the implicated organs at admission. (A) Superior field of the lung; red arrow indicates multiple pulmonary nodules, partial liquefaction and necrosis; (B) Middle field of the lung; (C) Inferior field of the lung; (D) The right-posterior lobe of the liver; green arrow indicates abscess; (E) Right anterior superior chest wall; green arrow indicates abscess; (F) 5th cervical vertebra bone destruction with prevertebral abscesses; black arrow indicates bone destruction in the 5th cervical vertebra, and green arrow indicates prevertebral abscesses.
IDR-13-4321-g0001.jpg
PMC7709867_01_IDR-13-4321-g0001.jpg
f0001
Enhanced computerized tomography (CT) of the chest, abdomen and cervical spine showed multiple pulmonary nodules and partial liquefaction and necrosis in bilateral lungs (Figure 1A-C). Suspected abscesses were noticed in the lower edge of the rightposterior lobe of the liver (Figure 1D) and the right anterior superior chest wall (Figure 1E). Bone destruction in the 5th cervical vertebra and suspected prevertebral abscesses were also noticed (Figure 1F).
Magnetic resonance imaging (MRI) of the cervical vertebra before operation. Green arrow indicates prevertebral abscess, and red arrow indicates bone destruction in the 5th cervical vertebra.
IDR-13-4321-g0002.jpg
PMC7709867_01_IDR-13-4321-g0002.jpg
f0002
Before surgical operation, magnetic resonance imaging (MRI) was performed on the cervical vertebra of the patient and found bone destruction in the 5th cervical vertebra and prevertebral abscess in neck 1 to neck 7 (Figure 2).
Postoperative H&E staining of the 5th cervical vertebra showing typical characteristics of chronic inflammation.
IDR-13-4321-g0003.jpg
PMC7709867_01_IDR-13-4321-g0003.jpg
f0003
Postoperative pathological result from the 5th cervical vertebra confirmed chronic suppurative inflammation (Figure 3).
CT and MRI figures before second discharge. Focuses were significantly improved after treatment. (A) CT of the superior field of the lung; (B) CT of the middle field of the lung; (C) CT of the inferior field of the lung; (D) CT of the right-posterior lobe of the liver; (E) CT of the right anterior superior chest wall; (F) MRI of the 5th cervical vertebra.
IDR-13-4321-g0004.jpg
PMC7709867_01_IDR-13-4321-g0004.jpg
f0004
Half a month later, re-examination of thoracic and abdominal CT (Figure 4A-E) and cervical vertebra MRI (Figure 4F) showed that all focuses were significantly improved.