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Spontaneous resolution of internal jugular vein thrombosis in a Salmonella neck abscess patient

Published online by Cambridge University Press:  29 June 2007

Chang-Hsi Lin
Affiliation:
Departments of Otolaryngology, En Chu Kong Hospital, Taipei, Taiwan.
Jih-Chyun Chou
Affiliation:
Departments of Otolaryngology, Cardinal Tien Hospital, Taipei, Taiwan.
Tarng-Lieh Lin
Affiliation:
Departments of Otolaryngology, En Chu Kong Hospital, Taipei, Taiwan.
Pei-Jen Lou*
Affiliation:
Departments of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan.
*
Address for correspondence: Pei-Jen Lou, M.D., Department of Otolaryngology, National Taiwan University Hospital, #7 Chung Shan South Road, Taipei, Taiwan.

Abstract

This article describes a rare case of Salmonella neck abscess complicated by internal jugular vein thrombosis in a 51-year-old patient with previously undiagnosed diabetes. The patient was discharged without any complications after a combination of medical and surgical treatment. Also discussed here are the clinical manifestations, imaging findings, and spontaneous resolution of the internal jugular vein thrombosis. Being immunocompromised is a critical predisposing factor for Salmonella neck abscess. Patient recovery is largely determined by proper incision, drainage of pus and adequate intravenous antibiotics according to bacterial sensitivity tests. Detection of an internal jugular vein thrombosis does not signify a poor prognosis. Spontaneous resolution of thrombosis is encountered after treating the infection.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1999

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References

Anton, P. A., Kemp, J. A., Butler, T., Jacobs, M. R. (1982) Comparative efficiency of ceftriaxone, moxalactam, and ampicillin in experimental Salmonella typhimurium infection. Antimicrobial Agents and Chemotherapy 22(2): 312315.CrossRefGoogle Scholar
Behr, M. A., McDonald, J. (1996) Salmonella neck abscess in a patient with 3-thalassemia major: case report and review. Clinical Infection Diseases 23(2): 404405.CrossRefGoogle Scholar
Bello, E. F., Pien, F. D. (1985) Salmonella Dublin neck abscess. Archives of Otolaryngology 111(7): 476477.Google Scholar
Ceyhan, M., Kanra, G., Benderlioglu, B., Secmeer, G., Hicsonmez, G., Kirazli, 5. (1993) Transient protein S deficiency with deep venous thrombosis during Salmonella typhimurium infection. Archives of Disease in Childhood 68(1): 138139.Google Scholar
Cherubin, C. E., Neu, H. C., Imperato, P. J., Harvey, R. P., Bellen, N. (1974) Septicemia with non-typhoid salmonella. Medicine 53(5): 365367.Google Scholar
Cohen, J. I., Bartlett, J. A., Corey, G. R. (1987) Extra-intestinal manifestations of Salmonella infections. Medicine 66(5): 349388.CrossRefGoogle ScholarPubMed
Finlay, B. B., Falkow, S. (1989) Salmonella as an intracellular parasite. Molecular Microbiology 3(12): 18331841.CrossRefGoogle ScholarPubMed
Guiney, D. G., Fang, F. C., Krause, M., Libby, S. (1994) Plasmid-mediated virulence genes in non-typhoid Salmonella serovars. FEMS Microbiology Letters 124(1): 19.CrossRefGoogle ScholarPubMed
Holmberg, S. D., Osterholm, M. T., Senger, K. A., Cohen, M. L. (1984) Drug-resistant Salmonella from animals fed antiniicrobials. New England Journal of Medicine 311(10):617622.Google Scholar
Lan, C. K., Cheng, D. L., Lasserre, R. (1986) Two to three days treatment of typhoid fever with ceftriazone. Southeast Asian Journal of Tropical Medicine and Public Health 17(1):119124.Google Scholar
Leiberman, A., Tovi, F., Barki, Y., Allan, M. (1991) Salmonella neck abscess associated with jugular vein thrombosis. Journal of Laryngology and Otology 105(1): 966967.Google Scholar
Ray, J., Shotton, J. C., Lobo, V. J. (1997) A rare case of Salmonella neck abscess. Journal of Laryngology and Otology 111(5): 479490.Google Scholar
Rosenberg, R. A., Liu, P. G., Myssiorek, D. J. (1985) Cervical abscess caused by salmonella infection. American Journal of Otolaryngology 6(1): 4245.CrossRefGoogle ScholarPubMed
Shikani, A. H., Shikani, L. T., Briscoe, P. B. (1990) Salmonella neck abscess. Archives of Otolaryngology — Head and Neck Surgery 116(1): 8891.Google Scholar
Soe, G. B., Overturf, G. D. (1987) Treatment of typhoid fever and other systemic salmonelloses with cefotaxime, ceftriaxone, cefoperazone, and other newer cephalosporins. Reviews of Infectious Diseases 9(4): 719736.CrossRefGoogle ScholarPubMed
Tom, M. B., Rice, D. H. (1988) Presentation and management of neck abscess: a retrospective analysis. Larynoscope 98(8): 877880.CrossRefGoogle ScholarPubMed
Vandenberg, S. J., Hartig, G. K. (1998) Lemierreapos;s syndrome. Otolaryngology — Head and Neck Surgery 119(5): 516518.Google Scholar
Westblom, T. U., Gudipati, S. (1997) Salmonella neck abscesses. Clinical Infectious Disease 25(5): 12561257.Google Scholar