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Spontaneous resolution of internal jugular vein thrombosis in a Salmonella neck abscess patient

Published online by Cambridge University Press:  29 June 2007

Chang-Hsi Lin
Affiliation:
Departments of Otolaryngology, En Chu Kong Hospital, Taipei, Taiwan.
Jih-Chyun Chou
Affiliation:
Departments of Otolaryngology, Cardinal Tien Hospital, Taipei, Taiwan.
Tarng-Lieh Lin
Affiliation:
Departments of Otolaryngology, En Chu Kong Hospital, Taipei, Taiwan.
Pei-Jen Lou*
Affiliation:
Departments of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan.
*
Address for correspondence: Pei-Jen Lou, M.D., Department of Otolaryngology, National Taiwan University Hospital, #7 Chung Shan South Road, Taipei, Taiwan.

Abstract

This article describes a rare case of Salmonella neck abscess complicated by internal jugular vein thrombosis in a 51-year-old patient with previously undiagnosed diabetes. The patient was discharged without any complications after a combination of medical and surgical treatment. Also discussed here are the clinical manifestations, imaging findings, and spontaneous resolution of the internal jugular vein thrombosis. Being immunocompromised is a critical predisposing factor for Salmonella neck abscess. Patient recovery is largely determined by proper incision, drainage of pus and adequate intravenous antibiotics according to bacterial sensitivity tests. Detection of an internal jugular vein thrombosis does not signify a poor prognosis. Spontaneous resolution of thrombosis is encountered after treating the infection.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1999

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