篇名 | Nontyphoidal Salmonellosis Presented as a Parotid Abscess within a Warthin,s Tumor: Case Report and Review of Literature |
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卷期 | 34:1 |
作者 | Lin, Yu-hsuan 、 Chang, Kuo-ping 、 Chu, Sau-tung |
頁次 | 049-051 |
關鍵字 | Parotid abscess 、 nontyphoidal Salmonella 、 Salmonella enteritidis 、 Warthin’s tumor 、 MEDLINE 、 Scopus |
出刊日期 | 201402 |
DOI | 10.4103/1011-4564.129395 |
Most suppurative parotid abscesses are caused by bacterial infection via the Stensen’s duct. Formation of a unilateral parotid abscess secondary to Salmonella enterocolitis seldom occurs, and cases arising in the setting of a previous existing parotid tumor have rarely been described to date. This study presents a 71-year-old male patient having a parotid abscess. This was caused by Salmonella enterica serovar Enteritidis (S. enteritidis) in an apparently immunocompetent adult with an inherent parotid tumor. The pathology is consistent with a Warthin’s tumor with infarction. By integrating surgical and antimicrobial drug therapy, the disease responded well to treatment. Despite an increasing incidence of extraintestinal salmonellosis in the past decades, a clinical practitioner must maintain a high index of suspicion for rare locations, such as the parotid gland, after uncomplicated bacteremia accompanying enterocolitis. Early diagnosis and prompt treatment are necessary for the prevention of lethal complications.