Reyes Cesar V, Jensen JoAnne D
Pathology Laboratoratory Medicine Service, Veterans Affairs Hospital, Hines, Illinois, USA.
Acta Cytol. 2006 Nov-Dec;50(6):677-9. doi: 10.1159/000326040.
Salmonella infection of the parotid gland is rare.
An instance in a 50-year-old man of Salmonella enteritidis parotiditis initially recognized by microbial culture of a fine needle aspiration cytology material is described. The identified predisposing factor was chronic alcoholic abuse. For the infection source, a carrier state of salmonella parotitis was postulated, which progressed to focal abscess and was subsequently complicated by bacteremia and hematogenous spread to the liver, spleen and lungs.
Salmonella should be included in the differential consideration of head and neck abscesses in immunocompromised individuals and treated aggressively.
腮腺沙门氏菌感染罕见。
描述了一名50岁男性患肠炎沙门氏菌腮腺炎的病例,最初通过细针穿刺细胞学材料的微生物培养得以确诊。已确定的诱发因素是长期酗酒。关于感染源,推测为腮腺炎沙门氏菌携带者状态,其发展为局灶性脓肿,随后并发菌血症,并通过血行播散至肝脏、脾脏和肺部。
对于免疫功能低下个体的头颈部脓肿,鉴别诊断时应考虑沙门氏菌感染,并积极进行治疗。