Medica Jadertina, Vol. 40 No. 1-2, 2010.
Professional paper
Neck abscess caused by salmonella infection - Case report
Dražen Shejbal
orcid.org/0000-0001-6878-9616
; Opća županijska bolnica Pakrac, ORL djelatnost, Pakrac
Marko Grgić
; Klinička bolnica "Sestre milosrdnice", Odjel za ORL i kirurgiju vrata, zagreb
Robert Trotić
; Klinička bolnica "Sestre milosrdnice", Odjel za ORL i kirurgiju glave i vrata, Zagreb
Mihael Ries
; Klinička bolnica "Sestre milosrdnice", Odjel za ORL i kirurgiju glave i vrata, Zagreb
Abstract
Salmonella infections outside the gastrointestinal tract are rare, but abscess of the head and neck caused by salmonella are even more uncommon. There are only 15 focal head and neck abscesses reported in world literature. All the described cases had the predisposed factor of oncological diseases or diabetes. The case of a 53 –year-old female patient is shown, with poorly controlled diabetes mellitus, with occasionally used glibenclamid tablets. The disease started with right sided anterior mass and fever. The mass was first
noticed 10 days prior to admission in hospital and became progressively larger and more tender. She used azitromicin, cephalexin and medazol but the neck mass became progressively larger and more tender. She denied having had any previous GI, lymphadenopaty disease or toothache. A CT scan was performed, and
after eruption approximately 5 ml of pus was obtained and cultured. After 24 hours, pus cultures were positive for Salmonella enteritidis. No other organisms were recovered. Salmonella was sensitive to
amoxicillin+clavulonat and gentamicin, and the therapy with these agents began with parenteral insuline.
The patient had overcome the critical period by being treated with antibiotics according to antibiogram, proper and intensive care of lesion and diabetes regulation. The patient was in a good general state and discharged 4 weeks later.
Keywords
Hrčak ID:
57622
URI
Publication date:
19.8.2010.
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