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Cervical osteomyelitis and soft tissue polymicrobial abscess in an immunocompetent 16-year-old patient
  1. Alex Guri1,
  2. Keren Mahlab-Guri2,
  3. Meital Adi3 and
  4. Eric Scheier1
  1. 1Department of Pediatrics, Kaplan Medical Center, Rehovot, Israel
  2. 2Allergy and Clinical Immunology Unit, Kaplan Medical Center, Rehovot, Israel
  3. 3Department of Radiology, Kaplan Medical Center, Rehovot, Israel
  1. Correspondence to Dr Alex Guri; alexgur{at}


A 16-year-old man was hospitalised with a painful space-occupying lesion in his posterior neck involving muscles, soft tissues, C1 cervical vertebra and vital cervical blood vessels. The true-cut biopsy showed inflammatory tissue. The microbiological analysis, which combined classical bacteriological and molecular methods, yielded at least four different anaerobic species. The patient was treated successfully with a prolonged course of ceftriaxone and metronidazole.

  • bone and joint infections
  • otolaryngology / ENT
  • infections

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  • Contributors All authors contributed to the manuscript as follows. AG, KM-G, MA and ES: discussed and analysed critically the case, revised the manuscript critically for important remarks and finally approved the manuscript. MA prepared roentgenological images analysis and description. AG: drafted the article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.