Hostname: page-component-78c5997874-ndw9j Total loading time: 0 Render date: 2024-11-14T07:11:22.696Z Has data issue: false hasContentIssue false

Salmonella neck abscess associated with jugular vein thrombosis

Published online by Cambridge University Press:  29 June 2007

A. Leiberman*
Affiliation:
Department of Otolaryngology, The Soroka University Medical Center and the Faculty of Health Sciences, Ben Gurion University of the Negev, Beer-Sheva, Israel.
F. Tovi
Affiliation:
Department of Otolaryngology, The Soroka University Medical Center and the Faculty of Health Sciences, Ben Gurion University of the Negev, Beer-Sheva, Israel.
Y. Barki
Affiliation:
Department of Ultrasound Unit, The Soroka University Medical Center and the Faculty of Health Sciences, Ben Gurion University of the Negev, Beer-Sheva, Israel.
M. Alkan
Affiliation:
Department of the Infectious Disease Unit, The Soroka University Medical Center and the Faculty of Health Sciences, Ben Gurion University of the Negev, Beer-Sheva, Israel.
*
Alberto Leiberman, Professor and Head Department of Otolaryngology, Soroka Medical Center, P O Box 151, Beer-Sheva, Israel.

Abstract

An unusual case of synergistic infection caused by Salmonella paratyphi and anaerobic streptococcus resulting in necrotizing cervical infection associated with deep neck abscess and internal jugular vein thrombosis, is presented. Salmonella acting as an oxygen consumer in the infected tissues, facilitates the growth of anaerobic cocci, hence the development of a devastating soft tissue infection. The precipitating cause was a tonsillar infection developing due to ‘post-anginal sepsis’. The aetiopathogenesis of the cervical infection is discussed.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Barlett, J. G., Gorbach, S. L. (1976) Anaerobic infections of the head and neck in symposium on infections of the head and neck. Otolaryngologic Clinics of North America, 9: 655678.CrossRefGoogle Scholar
Black, I. H., Kunz, L. J., Swartz, M. N. (1960) Salmonellosis: a review of some unusual aspects. New England Journal of Medicine, 262: 811817, 864870.CrossRefGoogle ScholarPubMed
Chowdhury, K., Bloom, J., Black, M. J., Al-Noury, K. (1990) Spontaneous and non spontaneous internal jugular vein thrombosis. Head and Neck, 9: 168173.CrossRefGoogle Scholar
Hook, E. W. (1990) Salmonella (including typhoid fever) in principles and practice of infectious disease, third edition. (Mandel, G. L., Douglas, R. G., Bennett, J. F., eds.) Churchill Livingstone: New York. p 17011716.Google Scholar
Gudipati, S., Westblom, T. U. (1991) Salmonellosis initially seen as a thyroid abscess. Head and Neck, 13: 153155.CrossRefGoogle ScholarPubMed
Kreutzer, E. W., Jafek, B. W., Johnson, M. L., Zunkel, D. E. (1982) Ultrasonography in the preoperative evaluation of neck abscesses. Head and Neck, 4: 290295.CrossRefGoogle ScholarPubMed
Lewitt, G. H. Cervical Fascie and deep neck infections (1976) Otolaryngologic Clinics of North America, 9: 703716.Google Scholar
Ortiz-Neu, C., Marr, J. S., Cherubin, C. S. (1978) Bone and joint infection due to salmonella Journal of Infectious Diseases, 138: 820828.Google Scholar
Saphra, I., Wassermann, M. (1954) Salmonellosa choleraraesuis: A clinical and epidemiological evaluation of 329 infections identified between 1940 and 1954 in the New York Salmonella Center. American Journal of Medical Sciences, 228: 525533.CrossRefGoogle Scholar
Shikani, A. H., Shikani, L. T., Briscoe, P. B. (1990) Salmonella neck abscess. Archives of Otolaryngology Head Neck Surgery, 116: 6691.CrossRefGoogle ScholarPubMed
Sinave, C. P., Hardy, G. J., Fardy, P. W. (1989) The Lemierre syndrome: suppurative thrombophlebitis of the internal jugular vein secondary to oropharyngeal infection. Medicine (Baltimore), 68: 8594.CrossRefGoogle ScholarPubMed
Tovi, F., Fliss, D. D., Zirkin, H. J. Necrotizing soft tissue infections in the head and neck; a clinopathological study. Laryngoscope, (in press).Google Scholar
Wing, V., Scheible, W. (1983) Sonography of jugular vein thrombosis. American Journal of Radiology, 140: 290295.Google ScholarPubMed
Wolfe, M. S., Armstrong, D., Louria, D. B., Blevins, A. (1971) Salmonellosis in patients with neoplastic disease: A review of 100 episodes at Memorial Cancer Center over a 13-year period. Archives of Internal Medicine, 128: 546554.CrossRefGoogle Scholar