A rare case of non-clostridial infection in a non-diabetic patient

Helin Nie Darat, Avinash Kumar Kanodia (Lead / Corresponding author), Aiwain Yong, Bhaskar Ram

    Research output: Contribution to journalArticle

    Abstract

    A 76-year-old man presented with neck swelling associated with pain and fever. On examination, there was a submental neck swelling. His initial CT scan showed multiloculated abscess centred in the left submandibular gland. He remained febrile despite on intravenous ceftriaxone and metronidazole. A repeat CT scan revealed significant worsening with multiple pockets of fluids with gas locules in the deep neck spaces. He subsequently underwent neck exploration and drainage of neck abscess. Extensive necrotic tissue was found intraoperatively and thick pus was drained from the bilateral parapharyngeal, submental spaces and anterior mediastium. Pus culture profusely grew of Eggerthella species. Patient recovered well following further intravenous antibiotic therapy. Diabetes mellitus and odontogenic infections are the common risk factors in deep neck infections. Our patient is however non-diabetic and edentulous. Current case is presented to serve as a rare case of neck abscess with unusual cause in a non-diabetic patient.

    Original languageEnglish
    Article numbere233467
    JournalBMJ Case Reports
    Volume13
    Issue number1
    Early online date8 Jan 2020
    DOIs
    Publication statusPublished - 8 Jan 2020

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    Neck
    Infection
    Abscess
    Suppuration
    Fever
    Ceftriaxone
    Submandibular Gland
    Metronidazole
    Drainage
    Diabetes Mellitus
    Gases
    Anti-Bacterial Agents
    Pain

    Cite this

    Darat, Helin Nie ; Kanodia, Avinash Kumar ; Yong, Aiwain ; Ram, Bhaskar. / A rare case of non-clostridial infection in a non-diabetic patient. In: BMJ Case Reports. 2020 ; Vol. 13, No. 1.
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    title = "A rare case of non-clostridial infection in a non-diabetic patient",
    abstract = "A 76-year-old man presented with neck swelling associated with pain and fever. On examination, there was a submental neck swelling. His initial CT scan showed multiloculated abscess centred in the left submandibular gland. He remained febrile despite on intravenous ceftriaxone and metronidazole. A repeat CT scan revealed significant worsening with multiple pockets of fluids with gas locules in the deep neck spaces. He subsequently underwent neck exploration and drainage of neck abscess. Extensive necrotic tissue was found intraoperatively and thick pus was drained from the bilateral parapharyngeal, submental spaces and anterior mediastium. Pus culture profusely grew of Eggerthella species. Patient recovered well following further intravenous antibiotic therapy. Diabetes mellitus and odontogenic infections are the common risk factors in deep neck infections. Our patient is however non-diabetic and edentulous. Current case is presented to serve as a rare case of neck abscess with unusual cause in a non-diabetic patient.",
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    A rare case of non-clostridial infection in a non-diabetic patient. / Darat, Helin Nie; Kanodia, Avinash Kumar (Lead / Corresponding author); Yong, Aiwain; Ram, Bhaskar.

    In: BMJ Case Reports, Vol. 13, No. 1, e233467, 08.01.2020.

    Research output: Contribution to journalArticle

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    T1 - A rare case of non-clostridial infection in a non-diabetic patient

    AU - Darat, Helin Nie

    AU - Kanodia, Avinash Kumar

    AU - Yong, Aiwain

    AU - Ram, Bhaskar

    N1 - © BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.

    PY - 2020/1/8

    Y1 - 2020/1/8

    N2 - A 76-year-old man presented with neck swelling associated with pain and fever. On examination, there was a submental neck swelling. His initial CT scan showed multiloculated abscess centred in the left submandibular gland. He remained febrile despite on intravenous ceftriaxone and metronidazole. A repeat CT scan revealed significant worsening with multiple pockets of fluids with gas locules in the deep neck spaces. He subsequently underwent neck exploration and drainage of neck abscess. Extensive necrotic tissue was found intraoperatively and thick pus was drained from the bilateral parapharyngeal, submental spaces and anterior mediastium. Pus culture profusely grew of Eggerthella species. Patient recovered well following further intravenous antibiotic therapy. Diabetes mellitus and odontogenic infections are the common risk factors in deep neck infections. Our patient is however non-diabetic and edentulous. Current case is presented to serve as a rare case of neck abscess with unusual cause in a non-diabetic patient.

    AB - A 76-year-old man presented with neck swelling associated with pain and fever. On examination, there was a submental neck swelling. His initial CT scan showed multiloculated abscess centred in the left submandibular gland. He remained febrile despite on intravenous ceftriaxone and metronidazole. A repeat CT scan revealed significant worsening with multiple pockets of fluids with gas locules in the deep neck spaces. He subsequently underwent neck exploration and drainage of neck abscess. Extensive necrotic tissue was found intraoperatively and thick pus was drained from the bilateral parapharyngeal, submental spaces and anterior mediastium. Pus culture profusely grew of Eggerthella species. Patient recovered well following further intravenous antibiotic therapy. Diabetes mellitus and odontogenic infections are the common risk factors in deep neck infections. Our patient is however non-diabetic and edentulous. Current case is presented to serve as a rare case of neck abscess with unusual cause in a non-diabetic patient.

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