NECK ABSCESS CAUSED BY MORGANELLA MORGANII
AbstractA 43-year-old housewife with no prior medical illness presented with progressive right neck swelling for 3 months’ duration, associated with dysphagia and trismus. She reported no history of fever, hoarseness of voice, constitutional symptoms, or contact with pulmonary tuberculosis. Physical examination revealed a large right neck swelling that was tender and fluctuant. CT of the neck and thorax showed a collection within the right carotid space, measuring 1.0×3.1×5.3 cm with resultant anterior displacement of the right submandibular gland, right common carotid artery and internal jugular vein (Figure-1). There were also multiple enlarged and necrotic lymph nodes in the right cervical region. She subsequently underwent incision and drainage of the right neck abscess in which 20 cc of purulent material was drained. Cultures of the purulent material, as well as the intraoperative tissue, grew Morganella morganii, susceptible to cefepime and carbapenems. The histopathological examination findings of the sampled lymph node were negative for both tuberculosis and malignancies. The patient was treated with intravenous cefepime 2 g twice daily for a total of 14 days. The neck swelling reduced in size, and she made a full recovery.
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.