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Parotid abscess due to salmonella enteritidis: A case report

Cesar V Reyes1, JoAnne D Jensen

  • 1Pathology Laboratoratory Medicine Service, Veterans Affairs Hospital, Hines, Illinois, USA. creyes@morrishospital.org

Acta Cytologica
|December 13, 2006
PubMed
Abstract

Insights

Salmonella parotiditis is a rare infection, particularly in immunocompromised individuals. Early recognition and aggressive treatment are crucial for managing this serious head and neck abscess complication.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Otolaryngology

Background:

  • Parotid gland infections are uncommon.
  • Salmonella species are a rare cause of parotiditis.

Observation:

  • A case of Salmonella enteritidis parotiditis in a 50-year-old man is presented.
  • Chronic alcoholic abuse was identified as a predisposing factor.
  • The parotiditis progressed to abscess, bacteremia, and systemic spread.

Findings:

  • Microbial culture of fine needle aspiration cytology identified Salmonella enteritidis.
  • A carrier state of Salmonella parotiditis was postulated as the infection source.
  • Hematogenous spread to the liver, spleen, and lungs complicated the infection.

Implications:

  • Salmonella should be considered in the differential diagnosis of head and neck abscesses.
  • Aggressive treatment is recommended for Salmonella-related head and neck infections.
  • Immunocompromised individuals are at higher risk for severe Salmonella parotiditis.

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