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[Suppurative parotitis as a sequela of infection with Salmonella enteritidis]
G Moser1, W Prammer, M Wallner
1Abteilung für Hals-, Nasen- und Ohrenheilkunde, Barmherzige Schwestern vom Hl. Kreuz, Wels.
Abstract:
Extraintestinal manifestations of Salmonella infection are rare events and occur primarily in immunocompromised hosts. We report on a 69-year old male patient hospitalized for absceding suppurative parotitis. From the swab taken on incision of the abscess, Salmonella enteritidis was cultivated. There was no preceding gastrointestinal infection in our patient. Risk factors in our patient included a poorly controlled non-insulin-dependent diabetes mellitus, chronic alcohol abuse, and advanced age. Quinolones are the therapy of choice in extraintestinal salmonellosis. On ciprofloxacin perorally, the patient showed rapid recovery.
Insights
Salmonella enteritidis can cause rare extraintestinal infections like parotitis, especially in older individuals with diabetes and alcohol abuse. Prompt treatment with ciprofloxacin led to rapid recovery in this case.
Area of Science:
- Infectious Diseases
- Microbiology
Background:
- Extraintestinal manifestations of Salmonella infections are uncommon, typically affecting immunocompromised individuals.
- Salmonella enteritidis is a significant bacterial pathogen.
- Suppurative parotitis is a rare presentation of bacterial infection.
Observation:
- A 69-year-old male patient presented with an abscessed suppurative parotitis.
- Salmonella enteritidis was isolated from the abscess.
- The patient had no history of gastrointestinal illness.
Findings:
- Risk factors identified included poorly controlled diabetes mellitus, chronic alcohol abuse, and advanced age.
- Extraintestinal salmonellosis was confirmed.
- Treatment with oral ciprofloxacin resulted in a swift clinical improvement.
Implications:
- This case highlights Salmonella enteritidis as a potential cause of suppurative parotitis.
- Early diagnosis and appropriate antibiotic therapy (quinolones) are crucial for managing extraintestinal Salmonella infections.
- Identifying underlying risk factors is essential for patient management and prevention.