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Submandibular abscess caused by Salmonella.

K Yamagata1, M Takeda, K Onizawa

  • 1Division of Dentistry and Oral and Maxillofacial Surgery, Mito Saiseikai General Hospital, Mito, Ibaraki 311-4198, Japan.

International Journal of Oral and Maxillofacial Surgery
|July 11, 2006
PubMed
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Salmonella rarely causes head and neck infections. This case highlights a Salmonella submandibular abscess in an immunocompromised patient, successfully treated with drainage and antibiotics.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Otolaryngology

Background:

  • Salmonella species are typically associated with gastrointestinal infections.
  • Head and neck infections caused by Salmonella are uncommon.
  • Immunocompromised states increase susceptibility to opportunistic pathogens.

Observation:

  • A 59-year-old male with diabetes mellitus, chronic hepatitis, and liver cirrhosis presented with a submandibular abscess.
  • The abscess was culture-confirmed to be caused by Salmonella species.
  • The patient had no history of recent travel or consumption of contaminated food.

Findings:

  • The submandibular abscess was successfully treated with surgical drainage.
  • The patient received oral quinolone therapy for the Salmonella infection.

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  • Recovery was uneventful, with no recurrence of infection.

    • Implications:

    • This case underscores the importance of considering Salmonella in head and neck abscesses, particularly in immunocompromised individuals.
    • Early diagnosis and appropriate management, including drainage and targeted antibiotics, are crucial for favorable outcomes.
    • Further research may elucidate the specific mechanisms by which Salmonella invades and establishes focal infections in the head and neck region.