Abstract

CASE REPORT ON TORTICOLLIS WITH CERVICAL LYMPHADENITIS

Aleena Prakash*, Akbar Sharooque V, Elizabeth Wilson Baby, Aida Mary Joseph1, S. Haja Sherief and T. Sivakumar

ABSTRACT

Torticollis (wry neck, or loxia) is one of a broader type of disorders that exhibit flexion, expansion, or twisting of muscles of the neck ahead of their normal position. Cervical lyphadenitis is enlarged, inflamed, and tender lymph node(s) of the neck. An enlarged tender node or nodes in the cervical area, frequently accompanied by fever, rhinorrhea, nasal congestion, erythematous pharynx and/or tonsils, facial swelling, and torticollis. A 9 year old male patient was admitted in the paediatric department with h/o swelling above right neck assosciated with pain, h/o difficulty in turning head for 1 day. Past medication history include patient has swelling for past 15 days and got treatment in private hospital, swelling size decreased in between and gradually increased to present size. The therapeutic management done for this patient include intravenous antibiotic Injection Amoxycilline Clavulanate, anti inflammatory drugs including Tablet Acetaminophen and Diclofenac gel. After few days of therapeutic management patient got cured. According to the patient condition evaluated that it is a mild type of acute torticollis and by therapeutic management patient overcome the condition, no need of any surgical drainage for the patient. Hence if the condition exist for 2-5 days then it can be cured by antibiotic management. Early diagnosis and treatment can avoid future complications.

Keywords: Swelling, Torticollis, chiildren, cervical lymphadenitis.