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非典型部位的非典型病原体:一例罕见的沙门氏菌相关性颌下脓肿病例

An Atypical Pathogen at an Atypical Location: A Rare Case of Salmonella-Associated Submandibular Abscess.

作者信息

Balaji Lavanya, Manoharan Harish, Prabhakaran Neelusree

机构信息

Department of Microbiology, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.

出版信息

Cureus. 2024 Aug 2;16(8):e66026. doi: 10.7759/cureus.66026. eCollection 2024 Aug.

DOI:10.7759/cureus.66026
PMID:39221369
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11366305/
Abstract

infections commonly cause gastroenteritis and enteric fever but can also result in extraintestinal infections, especially in immunocompromised individuals. Although rare,  infection in the head and neck region was found to be more common in diabetics and patients with malignancy. We present a unique case of a 52-year-old immunocompromised man with uncontrolled diabetes who developed a submandibular abscess due to Paratyphi B. The patient initially presented with pain, swelling, and difficulty swallowing, which worsened over a week. Diagnostic imaging revealed a well-defined abscess with lymphadenopathy. Management included incision and drainage, followed by identification of Paratyphi B and targeted antibiotic therapy based on culture and sensitivity analysis. This case highlights the importance of early recognition, appropriate diagnostic imaging, and targeted antimicrobial therapy in managing uncommon manifestations of infection in the head and neck. Continued vigilance and multidisciplinary management are essential for favorable patient outcomes in such cases.

摘要

感染通常会引起肠胃炎和伤寒,但也可能导致肠外感染,尤其是在免疫功能低下的个体中。虽然罕见,但头颈部感染在糖尿病患者和恶性肿瘤患者中更为常见。我们报告了一例独特的病例,一名52岁免疫功能低下且糖尿病控制不佳的男性,因乙型副伤寒杆菌感染形成了颌下脓肿。患者最初表现为疼痛、肿胀和吞咽困难,一周内症状加重。诊断性影像学检查显示有边界清晰的脓肿及淋巴结病。治疗包括切开引流,随后通过培养和药敏分析鉴定出乙型副伤寒杆菌并进行针对性抗生素治疗。该病例强调了早期识别、适当的诊断性影像学检查以及针对性抗菌治疗在处理头颈部感染罕见表现中的重要性。在此类病例中,持续的警惕和多学科管理对于患者获得良好预后至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1852/11366305/fbba5a075997/cureus-0016-00000066026-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1852/11366305/4f753b4e6dbe/cureus-0016-00000066026-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1852/11366305/fbba5a075997/cureus-0016-00000066026-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1852/11366305/4f753b4e6dbe/cureus-0016-00000066026-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1852/11366305/fbba5a075997/cureus-0016-00000066026-i02.jpg

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本文引用的文献

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A Diagnostic Conundrum: Tuberculosis or Salmonella Neck Abscess?一个诊断难题:颈部结核还是沙门氏菌脓肿?
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Salmonella neck abscess as an opportunistic infection in diabetes mellitus.沙门氏菌颈部脓肿作为糖尿病中的一种机会性感染
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Salmonella-infected submandibular gland cyst: case report and review of the literature.沙门氏菌感染的下颌下腺囊肿:病例报告及文献综述
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