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Case report
A rare case of non-clostridial infection in a non-diabetic patient
  1. Helin Nie Darat1,
  2. Avinash Kumar Kanodia2,
  3. Aiwain Yong3 and
  4. Bhaskar Ram4
  1. 1ENT, Aberdeen Royal Infirmary, Aberdeen, UK
  2. 2Radiology, Ninewells Hospital, Dundee, UK
  3. 3Radiology, Aberdeen Royal Infirmary, Aberdeen, UK
  4. 4Otolaryngology, Aberdeen Royal Infirmary, Aberdeen, UK
  1. Correspondence to Dr Avinash Kumar Kanodia; avinash.kanodia{at}nhs.net

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.

  • otolaryngology / ENT
  • head and neck surgery
  • infectious diseases
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Footnotes

  • Contributors HND, BR, AWY, AKK: all have contributed to conception and design of the work, acquisition, analysis, interpretation of data for the work, drafting the work, revising it critically for important intellectual content and final approval of the version.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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