稲井 俊太
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Assistant Professor
Article types Case report
Language English
Peer review Peer reviewed
Title Neck abscess due to Salmonella Choleraesuis: case study and literature review.
Journal Formal name:JMM case reports
Abbreviation:JMM Case Rep
ISSN code:20533721/20533721
Domestic / ForeginForegin
Volume, Issue, Page 4(8),pp.e005109
Author and coauthor Sugimoto Ryoji†, Suzuki Hirotaka, Nei Takahito, Tashiro Ayaka, Washio Yohei, Sonobe Kazunari, Nakamura Yuzo, Wakayama Nozomu, Inai Shunta, Izumiya Hidemasa
Publication date 2017/08
Summary 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