case_images: PMC9439926_01
case_images: Photograph showing the right jugal swelling with fistulizations under the right maxilla and cervical leaving pus (white arrows).
case_images: CRIID2022-7805523.001.jpg
case_images: PMC9439926_01_CRIID2022-7805523.001.jpg
case_images: fig1
case_images: This is a 28-year-old male patient who consumed alcohol and tobacco (quantity unspecified), with no reported pathological history, no intravenous drug use, or known risk of immunodepression received for a right cervicofacial inflammatory swelling with fistulization to the skin, leaking pus (Figure 1).
case_images: Cervical CT scan with contrast injection. (a) Axial view showing right masticatory area fluid collection (blue arrow). (b) Axial view showing fistulous path to the skin (red arrow). (c) Coronal view showing heterogeneous content of the collection with air bubbles (white arrows).
case_images: CRIID2022-7805523.002.jpg
case_images: PMC9439926_01_CRIID2022-7805523.002.jpg
case_images: fig2
case_images: It showed a cervicofacial cellulitis with a collection in the right masticatory region, heterogeneous with air bubbles and extended to the cervical region with a fistulous path (Figures 2(a)-2(c)).
case_images: Cervicothoracic CT scan with contrast injection. (a) Axial view at cervical level showing occlusive thrombosis of the right jugular vein (blue arrow). (b) Axial view at thoracic level showing thrombosis of the right superior vena cava (red arrow). (c) Sagittal view showing the thrombosis extended along the right jugular vein to the superior vena cava (blue arrow).
case_images: CRIID2022-7805523.003.jpg
case_images: PMC9439926_01_CRIID2022-7805523.003.jpg
case_images: fig3
case_images: It also visualized a thrombosis of the right internal jugular vein extended to the superior vena cava (Figures 3(a) and 3(b)).
case_images: Thoracic CT scan with contrast injection. (a, c, and d) Axial, coronal, and sagittal views in the lung window showing multiple bilateral excavated nodules. (b) Axial view in mediastinal window showing left pleural fluid effusion with passive atelectasis of the lower lobe.
case_images: CRIID2022-7805523.004.jpg
case_images: PMC9439926_01_CRIID2022-7805523.004.jpg
case_images: fig4
case_images: At the thoracic level, the CT scan showed multiple bilateral diffuse pulmonary nodules, most of which were excavated, and a moderate amount of left pleural fluid effusion (Figures 4(a)-4(c)).