Salmonella Neck Abscess as an Opportunistic Infection in Diabetes Mellitus

Salmonella neck infections represent an uncommon cause of focal salmonellosis. While the incidence of nontyphoid salmonellosis is estimated at over 2 million cases annually, extraintestinal manifestations account for less than 1% of cases. This paper describes two patients with Salmonella neck absce...

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Main Authors: Mina Pastagia, Stephen G. Jenkins
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2013/708419
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author Mina Pastagia
Stephen G. Jenkins
author_facet Mina Pastagia
Stephen G. Jenkins
author_sort Mina Pastagia
collection DOAJ
description Salmonella neck infections represent an uncommon cause of focal salmonellosis. While the incidence of nontyphoid salmonellosis is estimated at over 2 million cases annually, extraintestinal manifestations account for less than 1% of cases. This paper describes two patients with Salmonella neck abscesses as the initial presentation of diabetes mellitus. The first patient was diagnosed as having Salmonella enterica serotype Enteritidis sternocleidomastoid pyomyositis and the second patient Salmonella enterica serotype Typhimurium parapharyngeal abscess. Both patients had elevated hemoglobin A1c levels and had not been previously diagnosed with diabetes mellitus. Salmonella spp. should be on the differential as a causative pathogen in patients presenting with neck abscesses and poorly controlled glucose levels. Diabetes may be a risk factor for salmonellosis due to decreased gastric acidity and prolonged gastric transit time. Prompt incision and drainage accompanied by antibiotics remains the treatment of choice for infected neck abscesses.
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spelling doaj-art-f5b15e9c0b7e4e199a274a4d9b14d24c2025-08-20T02:22:59ZengWileyCase Reports in Infectious Diseases2090-66252090-66332013-01-01201310.1155/2013/708419708419Salmonella Neck Abscess as an Opportunistic Infection in Diabetes MellitusMina Pastagia0Stephen G. Jenkins1Division of Infectious Diseases, Department of Internal Medicine, Mount Sinai School of Medicine, New York, NY 10029, USADepartment of Microbiology, Weill Cornell School of Medicine, New York, NY 10065, USASalmonella neck infections represent an uncommon cause of focal salmonellosis. While the incidence of nontyphoid salmonellosis is estimated at over 2 million cases annually, extraintestinal manifestations account for less than 1% of cases. This paper describes two patients with Salmonella neck abscesses as the initial presentation of diabetes mellitus. The first patient was diagnosed as having Salmonella enterica serotype Enteritidis sternocleidomastoid pyomyositis and the second patient Salmonella enterica serotype Typhimurium parapharyngeal abscess. Both patients had elevated hemoglobin A1c levels and had not been previously diagnosed with diabetes mellitus. Salmonella spp. should be on the differential as a causative pathogen in patients presenting with neck abscesses and poorly controlled glucose levels. Diabetes may be a risk factor for salmonellosis due to decreased gastric acidity and prolonged gastric transit time. Prompt incision and drainage accompanied by antibiotics remains the treatment of choice for infected neck abscesses.http://dx.doi.org/10.1155/2013/708419
spellingShingle Mina Pastagia
Stephen G. Jenkins
Salmonella Neck Abscess as an Opportunistic Infection in Diabetes Mellitus
Case Reports in Infectious Diseases
title Salmonella Neck Abscess as an Opportunistic Infection in Diabetes Mellitus
title_full Salmonella Neck Abscess as an Opportunistic Infection in Diabetes Mellitus
title_fullStr Salmonella Neck Abscess as an Opportunistic Infection in Diabetes Mellitus
title_full_unstemmed Salmonella Neck Abscess as an Opportunistic Infection in Diabetes Mellitus
title_short Salmonella Neck Abscess as an Opportunistic Infection in Diabetes Mellitus
title_sort salmonella neck abscess as an opportunistic infection in diabetes mellitus
url http://dx.doi.org/10.1155/2013/708419
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