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BMJ Case Rep ; 12(7)2019 Jul 24.
Article in English | MEDLINE | ID: mdl-31345833

ABSTRACT

We describe an unusual case of a 58-year-old man with type 2 diabetes mellitus (T2DM) developing sepsis secondary to a prevertebral neck abscess. Following cross-sectional imaging, the patient underwent surgical drainage. Salmonella sandiego was isolated from urine, blood and pus cultures. Salmonella species neck infections represent a rare cause of focal salmonellosis, though have been reported in the literature. This is the first reported case of S. sandiego causing neck abscess. The case highlights an atypical presentation of salmonellosis, with the surprising finding of a neck abscess on cross-sectional imaging without evidence of co-existing significant discitis or osteomyelitis.


Subject(s)
Abscess/microbiology , Diabetes Mellitus, Type 2/physiopathology , Neck/microbiology , Salmonella Infections/diagnosis , Salmonella enterica/isolation & purification , Sepsis/diagnosis , Abscess/therapy , Ceftriaxone/therapeutic use , Ciprofloxacin/therapeutic use , Drainage , Humans , Male , Metronidazole/therapeutic use , Middle Aged , Salmonella Infections/drug therapy , Sepsis/complications , Sepsis/therapy , Treatment Outcome
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