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Salmonella neck abscess as an opportunistic infection in diabetes mellitus.
[pyomyositis]
Salmonella
neck
infections
represent
an
uncommon
cause
of
focal
salmonellosis
.
While
the
incidence
of
nontyphoid
salmonellosis
is
estimated
at
over
2
million
cases
annually
,
extraintestinal
manifestations
account
for
less
than
1
%
of
cases
.
This
paper
describes
two
patients
with
Salmonella
neck
abscesses
as
the
initial
presentation
of
diabetes
mellitus
.
The
first
patient
was
diagnosed
as
having
Salmonella
enterica
serotype
Enteritidis
sternocleidomastoid
pyomyositis
and
the
second
patient
Salmonella
enterica
serotype
Typhimurium
parapharyngeal
abscess
.
Both
patients
had
elevated
hemoglobin
A
1
c
levels
and
had
not
been
previously
diagnosed
with
diabetes
mellitus
.
Salmonella
spp
.
should
be
on
the
differential
as
a
causative
pathogen
in
patients
presenting
with
neck
abscesses
and
poorly
controlled
glucose
levels
.
Diabetes
may
be
a
risk
factor
for
salmonellosis
due
to
decreased
gastric
acidity
and
prolonged
gastric
transit
time
.
Prompt
incision
and
drainage
accompanied
by
antibiotics
remains
the
treatment
of
choice
for
infected
neck
abscesses
.
Diseases
Validation
Diseases presenting
"diabetes mellitus"
symptom
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
allergic bronchopulmonary aspergillosis
alpha-thalassemia
child syndrome
cholangiocarcinoma
cohen syndrome
congenital adrenal hyperplasia
congenital toxoplasmosis
cowden syndrome
cushing syndrome
cystinuria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial hypocalciuric hypercalcemia
malignant atrophic papulosis
neuralgic amyotrophy
pyomyositis
sneddon syndrome
typhoid
werner syndrome
wolf-hirschhorn syndrome
This symptom has already been validated