Salmonella neck abscess in a diabetic

Abstract

Salmonella is known to cause invasive illness. However, head and neck abscesses are an unusual presentation of extra-intestinal infection with this organism. We describe a case of Salmonella neck abscess in a diabetic patient. An 18 year old diabetic male was admitted with increasing left sided neck pain and swelling approximately four weeks after gastrointestinal illness. Imaging revealed a left sided neck abscess. Surgical drainage was undertaken. Cultures grew non-typhoid Salmonella species. He was treated with intravenous antibiotics and did well clinically. Salmonella infection should be considered in the differential diagnosis of patients with immunocompromising conditions presenting with neck abscess of unclear etiology.

Salmonella Retropharyngeal Abscess Linked to Backyard Poultry Exposure in a 12-Month-Old Girl

“…Previously published cases describe focal Salmonella neck infections among immunocompromised adults [15,16]. However, our case is the second reported finding of a pediatric RPA due to Salmonella.…”

“…The predominant bacterial species are Streptococcus pyogenes , Staphylococcus aureus , and respiratory anaerobes including Fusobacteria, Prevotella, and Bacteroides [ 14 ]. Previously published cases describe focal Salmonella neck infections among immunocompromised adults [ 15 , 16 ]. However, our case is the second reported finding of a pediatric RPA due to Salmonella.…”

A pain in the neck: Salmonella spp. as an unusual cause of a thyroid abscess. A case report and review of the literature

“…and more specifically NTS. In immunocompromised patients, NTS could cause more invasive extra-intestinal infections [35,[37][38][39]. Our patient's Hg A1c was elevated at 7.8% indicating suboptimal control of DM that is in keep with most cases of AST with DM in the literature [8,10,35].…”

“…Previous reports are summarized in Table 1 [1,2,5,[7][8][9][10]. Salmonella is a motile Gram-negative anaerobic bacillus with two main species; S. enterica and S. bongori [35]. However, there are many subspecies of both.…”

A rare case of neck abscess caused by Salmonella

“…He was treated with insulin for uncontrolled diabetes and antibiotics. 7 Pastagia et al in 2013 described two interesting cases of salmonella neck abscess. In his study, both of his patients had different types of abscesses.…”