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Salmonella neck abscess in a diabetic

Nathan McLeod1, Allison Lastinger1, Nicole Bryan1

  • 1Section of Infectious Diseases, West Virginia University School of Medicine, United States.

Idcases
|August 7, 2019
PubMed

Insights

Salmonella infection can cause invasive illness. This case highlights an unusual Salmonella neck abscess in a diabetic patient, emphasizing its consideration in immunocompromised individuals with unexplained neck abscesses.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Clinical Medicine

Background:

  • Salmonella is a recognized cause of invasive infections.
  • Extra-intestinal manifestations of Salmonella are less common than gastrointestinal disease.
  • Head and neck abscesses are an atypical presentation for Salmonella.

Observation:

  • An 18-year-old diabetic male presented with left neck pain and swelling.
  • Symptoms began approximately four weeks after a gastrointestinal illness.
  • Imaging confirmed a left-sided neck abscess.

Findings:

  • Surgical drainage of the abscess was performed.
  • Cultures identified non-typhoid Salmonella species.
  • The patient responded well to intravenous antibiotics.

Implications:

  • Salmonella should be included in the differential diagnosis for neck abscesses of unknown origin.
  • Immunocompromised patients, particularly those with diabetes, are at risk for unusual Salmonella presentations.
  • Early recognition and appropriate treatment are crucial for favorable outcomes in invasive Salmonella infections.

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