イナイ シユンタ   Inai Shiyunta
  稲井 俊太
   所属   医学部 医学科(東京女子医科大学病院)
   職種   助教
論文種別 症例報告
言語種別 英語
査読の有無 査読あり
表題 Neck abscess due to Salmonella Choleraesuis: case study and literature review.
掲載誌名 正式名:JMM case reports
略  称:JMM Case Rep
ISSNコード:20533721/20533721
掲載区分国外
巻・号・頁 4(8),pp.e005109
著者・共著者 Sugimoto Ryoji†, Suzuki Hirotaka, Nei Takahito, Tashiro Ayaka, Washio Yohei, Sonobe Kazunari, Nakamura Yuzo, Wakayama Nozomu, Inai Shunta, Izumiya Hidemasa
発行年月 2017/08
概要 Introduction. We herein describe a case with a neck abscess due to non-typhoidal Salmonella (NTS). NTS habitually reside in our environment and colonize all animals including mammals. Colonizations of pigs, chickens, cows and sheep are important because food poisoning episodes in human are often associated with meat. Extra-intestinal infection due to NTS has numerous presentations and complications, with aortic aneurysms being common. Case presentation. A 26-year-old Japanese male complaining of left-sided neck swelling was referred to our hospital for a suspected deep neck abscess. An enhanced computed tomography scan of the neck revealed a low density lesion in the left-sided deep neck area, and consequently the patient underwent urgent incision and drainage. After this urgent operation, Salmonella Choleraesuis was isolated from a greyish-white abscess. The patient ultimately recovered with antimicrobial administration, though re-incision for lymphadenectomy was necessary. The neck abscess may have developed because he had eaten raw meat. Furthermore, untreated diabetes mellitus was diagnosed at presentation. Conclusion.Salmonella enterica serovar Choleraesuis infections are rare in Japan. NTS are generally recognized as important pathogens in food poisoning globally, and attention is required to avoid the development of extra-intestinal infections. In Japan, the increasing lifestyle diversity in recent years highlights the importance of recognizing rare infections.
DOI 10.1099/jmmcr.0.005109
PMID 29026636