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CASE REPORT
Year : 2014  |  Volume : 34  |  Issue : 1  |  Page : 49-51

Nontyphoidal Salmonellosis presented as a parotid abscess within a Warthin's tumor: Case report and review of literature


1 Department of Otolaryngology, Head and Neck Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, Republic of China
2 Department of Otolaryngology, Head and Neck Surgery, Cheng Ching Hospital, Taichung, Taiwan, Republic of China

Correspondence Address:
Kuo-Ping Chang
Department of Otolaryngology, Head and Neck surgery, Kaohsiung Veterans General Hospital, No. 386, Ta-Chung 1st Road, Kaohsiung 813, Taiwan
Republic of China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1011-4564.129395

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Most suppurative parotid abscesses are caused by bacterial infection via the Stensen's duct. Formation of a unilateral parotid abscess secondary to Salmonella enterocolitis seldom occurs, and cases arising in the setting of a previous existing parotid tumor have rarely been described to date. This study presents a 71-year-old male patient having a parotid abscess. This was caused by Salmonella enterica serovar Enteritidis (S. enteritidis) in an apparently immunocompetent adult with an inherent parotid tumor. The pathology is consistent with a Warthin's tumor with infarction. By integrating surgical and antimicrobial drug therapy, the disease responded well to treatment. Despite an increasing incidence of extraintestinal salmonellosis in the past decades, a clinical practitioner must maintain a high index of suspicion for rare locations, such as the parotid gland, after uncomplicated bacteremia accompanying enterocolitis. Early diagnosis and prompt treatment are necessary for the prevention of lethal complications.


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