Acute Calcific Tendinitis of the Longus Colli Muscle: A Clinical Mimic for Retropharyngeal Abscess

Acute Calcific Tendinitis of the Longus Colli muscle is a rare but important cause of acute, severe neck pain. It is a non-infective inflammatory condition that can often clinically mimic retropharyngeal abscess, neck trauma and oropharyngeal neoplasms. We present a case occurring in a 64 year old male presenting with severe neck pain and dysphagia. A computerised tomography scan to investigate these symptoms demonstrated calcification in the prevertebral space adjacent to C2 vertebral body. Non-steroidal anti-inflammatory drugs were used to successfully treat the patient’s symptoms with a good response. Although uncommon, an awareness of this condition is key in preventing misdiagnosis, unnecessary over investigation and incorrect management.