Cooccurrence of Metastatic Papillary Thyroid Carcinoma and Salmonella Induced Neck Abscess in a Cervical Lymph Node
Cervical lymph node metastasis is common in patients with papillary thyroid carcinoma (PTC). Salmonella species are rarely reported as causative agents in focal infections of the head and neck. The cooccurrence of lymph node metastasis from PTC and a bacterial infection is rare. This report describe...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/5670429 |
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| author | Jae-Myung Kim Ju-Yeon Kim Eun Jung Jung Eun Jin Song Dong Chul Kim Chi-Young Jeong Young-Tae Ju Young-Joon Lee Soon-Chan Hong Sang-Kyung Choi Woo-Song Ha |
| author_facet | Jae-Myung Kim Ju-Yeon Kim Eun Jung Jung Eun Jin Song Dong Chul Kim Chi-Young Jeong Young-Tae Ju Young-Joon Lee Soon-Chan Hong Sang-Kyung Choi Woo-Song Ha |
| author_sort | Jae-Myung Kim |
| collection | DOAJ |
| description | Cervical lymph node metastasis is common in patients with papillary thyroid carcinoma (PTC). Salmonella species are rarely reported as causative agents in focal infections of the head and neck. The cooccurrence of lymph node metastasis from PTC and a bacterial infection is rare. This report describes a 76-year-old woman with a cervical lymph node metastasis from PTC and Salmonella infection of the same lymph node. The patient presented with painful swelling in her left lateral neck region for 15 days, and neck ultrasonography and computed tomography showed a cystic mass along left levels II–IV. The cystic mass was suspected of being a metastatic lymph node; modified radical neck dissection was performed. Histopathological examination confirmed the presence of PTC in the resected node and laboratory examination of the combined abscess cavity confirmed the presence of Salmonella Typhi. Following antibiotic sensitivity testing of the cultured Salmonella Typhi, she was treated with proper antibiotics. Cystic lesions in lymph nodes with metastatic cancer may indicate the presence of cooccurring bacterial infection. Thus, culturing of specimen can be option to make accurate diagnosis and to provide proper postoperative management. |
| format | Article |
| id | doaj-art-8e58597a93f7499a957a010d02babf7a |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-8e58597a93f7499a957a010d02babf7a2025-02-03T06:01:39ZengWileyCase Reports in Medicine1687-96271687-96352017-01-01201710.1155/2017/56704295670429Cooccurrence of Metastatic Papillary Thyroid Carcinoma and Salmonella Induced Neck Abscess in a Cervical Lymph NodeJae-Myung Kim0Ju-Yeon Kim1Eun Jung Jung2Eun Jin Song3Dong Chul Kim4Chi-Young Jeong5Young-Tae Ju6Young-Joon Lee7Soon-Chan Hong8Sang-Kyung Choi9Woo-Song Ha10Department of Surgery, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju, Republic of KoreaDepartment of Surgery, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju, Republic of KoreaDepartment of Surgery, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Changwon, Republic of KoreaDepartment of Surgery, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju, Republic of KoreaDepartment of Pathology, Gyeongsang National University School of Medicine, Gyeongsang Institute of Health Sciences, Gyeongsang National University, Jinju, Republic of KoreaDepartment of Surgery, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju, Republic of KoreaDepartment of Surgery, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju, Republic of KoreaDepartment of Surgery, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju, Republic of KoreaDepartment of Surgery, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju, Republic of KoreaDepartment of Surgery, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju, Republic of KoreaDepartment of Surgery, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju, Republic of KoreaCervical lymph node metastasis is common in patients with papillary thyroid carcinoma (PTC). Salmonella species are rarely reported as causative agents in focal infections of the head and neck. The cooccurrence of lymph node metastasis from PTC and a bacterial infection is rare. This report describes a 76-year-old woman with a cervical lymph node metastasis from PTC and Salmonella infection of the same lymph node. The patient presented with painful swelling in her left lateral neck region for 15 days, and neck ultrasonography and computed tomography showed a cystic mass along left levels II–IV. The cystic mass was suspected of being a metastatic lymph node; modified radical neck dissection was performed. Histopathological examination confirmed the presence of PTC in the resected node and laboratory examination of the combined abscess cavity confirmed the presence of Salmonella Typhi. Following antibiotic sensitivity testing of the cultured Salmonella Typhi, she was treated with proper antibiotics. Cystic lesions in lymph nodes with metastatic cancer may indicate the presence of cooccurring bacterial infection. Thus, culturing of specimen can be option to make accurate diagnosis and to provide proper postoperative management.http://dx.doi.org/10.1155/2017/5670429 |
| spellingShingle | Jae-Myung Kim Ju-Yeon Kim Eun Jung Jung Eun Jin Song Dong Chul Kim Chi-Young Jeong Young-Tae Ju Young-Joon Lee Soon-Chan Hong Sang-Kyung Choi Woo-Song Ha Cooccurrence of Metastatic Papillary Thyroid Carcinoma and Salmonella Induced Neck Abscess in a Cervical Lymph Node Case Reports in Medicine |
| title | Cooccurrence of Metastatic Papillary Thyroid Carcinoma and Salmonella Induced Neck Abscess in a Cervical Lymph Node |
| title_full | Cooccurrence of Metastatic Papillary Thyroid Carcinoma and Salmonella Induced Neck Abscess in a Cervical Lymph Node |
| title_fullStr | Cooccurrence of Metastatic Papillary Thyroid Carcinoma and Salmonella Induced Neck Abscess in a Cervical Lymph Node |
| title_full_unstemmed | Cooccurrence of Metastatic Papillary Thyroid Carcinoma and Salmonella Induced Neck Abscess in a Cervical Lymph Node |
| title_short | Cooccurrence of Metastatic Papillary Thyroid Carcinoma and Salmonella Induced Neck Abscess in a Cervical Lymph Node |
| title_sort | cooccurrence of metastatic papillary thyroid carcinoma and salmonella induced neck abscess in a cervical lymph node |
| url | http://dx.doi.org/10.1155/2017/5670429 |
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