A 60-year-old male was reported to the emergency department with a fever and intermittent bleeding of the oropharynx. He was undergoing treatment for a T1N2bM0p16-positive malignancy on the left side of the tongue. The symptoms began a week before when he felt a sharp pain in his throat after sneezing. The patient had a medical history of myocardial infarction and hypertension. Oropharyngeal examination Mucus on the roof of the mouth without any blood Blood around the base of the tongue on the left side and the epiglottis The pyriform fossa was pooled with saliva.
There was initial regurgitation during the initial swallowing. Lab results: Deteriorating chronic anemia with Hemoglobin: 83 C-reactive protein: 58.7 WBC: 2.8 CT imaging revealed multiple gas-filled cavities on the right side of the oropharyngeal mucosa ( Cover image and figure 1 ). Figure 1. Enhanced axial CT of the neck…
