scholarly journals Thyroid abscess due to Eikenella corrodens in a pediatric patient

2019 ◽  
Vol 13 (10) ◽  
pp. 945-947
Author(s):  
Deniz Aygun ◽  
Beste Akdeniz ◽  
Gokhan Aygun ◽  
Haluk Cokugras ◽  
Yıldız Camcıoglu

Eikenella corrodens is one of the HACEK bacteria that is commensal microorganism of the oropharngeal flora. E. corrodens has been increasingly reported to cause pyogenic abscesses, especially in diabetic or immunocompromised adults. It is less frequently reported in immunocompotent children. Here, we report a deep neck infection, including the thyroid gland, in a previously healthy girl. E. corrodens was the only microorganism isolated in two different cultures. Antibiotic susceptibility is variable, in contrast to other oropharyngeal pathogens. Thus, to avoid delayed treatment, E. corrodens should always be considered in infections of the head and neck area.

Author(s):  
Nurhayat YAKUT ◽  
Eda KEPENEKLİ KADAYIFÇI ◽  
Ayşe KARAASLAN ◽  
Serkan ATICI ◽  
Gülşen AKKOÇ ◽  
...  

2021 ◽  
Vol 9 ◽  
pp. 232470962110519
Author(s):  
Barbora Pitekova ◽  
Robert Kralik ◽  
Samuel Kunzo ◽  
Jaroslav Bojnansky ◽  
Ludmila Podracka

Actinomycosis is an atypical cause of infection in the head and neck area, especially in children. A rare incidence of actinomycosis, its nonspecific clinical signs that mimic other pathological conditions, as well as a complicated identification of microorganism lead to diagnostic delays in clinical practice. Besides an accurate diagnosis, it is of an utmost importance to pinpoint relevant predisposing factors, which might result in the infection. We present a clinical case of actinomycotic infection of the thyroid gland in the pediatric patient at our department.


2015 ◽  
Vol 66 (6) ◽  
pp. e33-e34
Author(s):  
Fernando Javier Rivas Castillo ◽  
Justo Ramón Gómez Martinez ◽  
Fernando López Álvarez ◽  
Fabián García Velasco

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Apichana Mahattanapreut ◽  
Rangsima Aroonroch ◽  
Chalermchai Chintrakarn ◽  
Chutintorn Sriphrapradang

Deep neck infection is defined as an infectious process in the potential spaces and fascial plane of the neck which may result in a fatal complication. Prompt drainage and broad-spectrum antibiotics are the mainstays of treatment. Deep neck infection as the initial presentation of primary head and neck cancer is not common. Nevertheless, head and neck squamous cell carcinoma is the most common primary head and neck cancer, which could present with cervical metastasis and subsequently becomes infected. Papillary thyroid cancer has a naturally indolent course, and most patients present with a thyroid nodule. However, deep neck infection could be an uncommon presentation of papillary thyroid cancer which may obscure the diagnosis of underlying malignancy. This case report aims to present a rare presentation of papillary thyroid cancer which needs meticulous evaluation. Moreover, the pathological examination should be performed in all cases of deep neck infection for early detection and management of underlying papillary thyroid cancer.


2022 ◽  
Vol 15 (1) ◽  
pp. e244331
Author(s):  
Alex Guri ◽  
Eric Scheier

Torticollis in children can be a sign of a potentially dangerous disease; the correct diagnosis is not always obvious on history and physical examination. The use of point-of-care ultrasound (POCUS) helps to limit the differential diagnosis and direct appropriate further laboratory and radiology-performed evaluation. We present a case of a 10-year-old child whose deep neck infection (DNI) was timely diagnosed in the paediatric emergency department by early use of POCUS and drained under POCUS guidance after admission to the hospital. The culture from the fluid grew Eikenella corrodens, Streptococcus constellatus and Prevotella buccae. This case demonstrates that DNIs occur in children with acute acquired torticollis, even without fever and demonstrates the importance of early use of POCUS in cases where DNI is a potential diagnosis. Moreover, this case emphasises the importance of microbiological identification of DNIs that can be the key to successful treatment.


2011 ◽  
Vol 269 (2) ◽  
pp. 585-590 ◽  
Author(s):  
Yuan-Yung Lin ◽  
Chiang-Hung Hsu ◽  
Jih-Chin Lee ◽  
Hsing-Won Wang ◽  
Yaoh-Shiang Lin ◽  
...  

2006 ◽  
Vol 120 (4) ◽  
pp. 305-309 ◽  
Author(s):  
Cheng-Ping Wang ◽  
Jenq-Yuh Ko ◽  
Pei-Jen Lou

Objectives: Primary head and neck cancer and deep neck infection are not uncommon, but deep neck infection as the initial presentation of primary head and neck cancer is rare and these patients risk potential misdiagnosis.Materials and methods: The records of 301 patients with deep neck infection and 3337 patients with primary head and neck cancers from 1990 to 2002 were retrospectively reviewed. Patients with primary head and neck cancers who had deep neck infection as their initial presentation were enrolled.Results: Seven patients were identified (six men and one woman). The median age was 64 years. All patients presented with painful, erythematous neck swelling and all image studies showed abscess formation. Four abscesses received needle aspiration and three received surgical drainage, which yielded malignant cells in four specimens. The primary origins of malignancies were the nasopharynx (two patients), oropharynx (two patients), hypopharynx (one patient), parotid gland (one patient) and maxillary sinus (one patient). All patients had stage IV disease. Only three patients could receive curative therapy and only one patient was disease-free after three years.Conclusion: We suggest that detailed history-taking, complete examination of the ENT field and pathological study of the infected tissue must be performed for patients with deep neck infection to enable early detection and prompt treatment of any underlying malignancy.


1981 ◽  
Vol 89 (2) ◽  
pp. 226-229 ◽  
Author(s):  
Vanessa Gayl Schweitzer ◽  
Nels R. Olson

Primary thyroid abscess arising from acute suppurative thyroiditis is an unusual type of head and neck infection. Only 39 cases of thyroid abscess have been reported in the medical literature since 1950. Sixteen of these cases (41%) were in children. This presentation reports in detail two additional adult patients with thyroid abscesses. In addition, the incidence, etiology, signs and symptoms, complications, aids to diagnosis, and management are reviewed. Systemic antimicrobials combined with prompt surgical intervention will prevent the serious complications possible with this disease.


2006 ◽  
Vol 120 (11) ◽  
pp. 967-969 ◽  
Author(s):  
A Delides ◽  
F Sharifi ◽  
E Karagianni ◽  
A Stasinopoulou ◽  
E Helidonis

Teratomas and dermoids or hairy polyps of the head and neck are rare congenital tumours, often confused and reported to appear as single masses, that may cause upper aerodigestive tract impairment. Their histological classification, origin and embryological basis of development have been a topic of debate in the past and recent literature.We report a case of an infant presenting with a multifocal bigerminal teratoma in the nasopharynx and the neck, causing a deep neck infection, and discuss the unique clinicopathological aspects of this case.


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