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First reported case of neck abscess caused by non–typhoidal Salmonella in Sri Lanka

Authors:

D. D. Jayasundara ,

Teaching Hospital, Anuradhapura, LK
About D. D.
Department of Microbiology
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M. P. G. R. Imalka,

Teaching Hospital, Anuradhapura, LK
About M. P. G. R.
Department of Microbiology
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S. M. Thelikorala,

Teaching Hospital, Anuradhapura, LK
About S. M.
ENT Unit
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N. Udayani,

Teaching Hospital, Anuradhapura, LK
About N.
ENT Unit
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L. G. Yapa

Teaching Hospital, Anuradhapura, LK
About L. G.
Department of Microbiology
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Abstract

Non-typhoidal Salmonella species (NTS) are a well-known cause of food borne gastroenteritis. Invasive infections due to NTS are rare and usually reported in patients with underlying immunosuppressive conditions like HIV or diabetes mellitus. Transient bacteraemia which occurs in NTS infections could be followed by development of a localized focus in these patients. This case report is on a patient with poorly controlled diabetes mellitus who presented with fever and progressive neck swelling and was found to have abscess formation in the cervical lymph nodes. The isolate from the drained pus was identified as Salmonella species by a rapid identification system and confirmed as Salmonella enterica serovar Enteritidis at the National reference laboratory.  Proper surgical drainage combined with appropriate antimicrobial therapy and good glycemic control helped to manage the patient successfully.

 

This case report emphasizes the necessity of establishing the aetiology accurately as empirical antibiotic therapy for neck abscess usually targets Gram positive bacteria and anaerobic flora of the mouth rather than a Gram negative bacterial aetiology. This is the first reported case of neck abscess due to NTS in Sri Lanka to the best of our knowledge.

How to Cite: Jayasundara, D.D., Imalka, M.P.G.R., Thelikorala, S.M., Udayani, N. and Yapa, L.G., 2021. First reported case of neck abscess caused by non–typhoidal Salmonella in Sri Lanka. Sri Lankan Journal of Infectious Diseases, 11(2), pp.102–106. DOI: http://doi.org/10.4038/sljid.v11i2.8357
Published on 28 Oct 2021.
Peer Reviewed

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