Purulent lymphadenitis after peritonsillar abscess under immunosuppression : An often forgotten differential diagnosis.

13:22 EST 29th January 2015 | BioPortfolio

Summary of "Purulent lymphadenitis after peritonsillar abscess under immunosuppression : An often forgotten differential diagnosis."

In the present case study, a 75-year-old, immunosuppressed man presented with recurrent cervical abscesses after a peritonsillar abscess. In the cervical region, an ulcer developed with persistent wound healing deficit. Subsequently, the patient's general condition deteriorated, showing symptoms of a Landouzy sepsis. In the course of the examination, Mycobacteria tuberculosis was detected in the cervical ulcer. He suffered from latent tuberculosis, which was reactivated by a combination of his disease, immunosuppressive therapy and the preceding peritonsillar abscess. Upon treatment with tuberculostatics, the patient fully recovered.


Hals-Nasen-Ohrenklinik, Kantonsspital St. Gallen, Rorschacher Straße 95, 9007, St. Gallen, Schweiz, Olivia.Jeleff@med.uni-muenchen.de.

Journal Details

This article was published in the following journal.

Name: HNO
ISSN: 1433-0458


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Medical and Biotech [MESH] Definitions

An accumulation of purulent material in the area between the PALATINE TONSIL and its capsule.

Accumulation of purulent EXUDATES beneath the DIAPHRAGM, also known as upper abdominal abscess. It is usually associated with PERITONITIS or postoperative infections.

Localized circumscribed purulent area of inflammation in the periodontal tissue. It is a derivative of marginal periodontitis and commonly associated with suprabony and infrabony pockets and interradicular involvements, in contrast to periapical abscess which is attributable to pulp necrosis.

Accumulation of purulent material in tissues, organs, or circumscribed spaces, usually associated with signs of infection.

An accumulation of purulent material in the space between the PHARYNX and the CERVICAL VERTEBRAE. This usually results from SUPPURATION of retropharyngeal LYMPH NODES in patients with UPPER RESPIRATORY TRACT INFECTIONS, perforation of the pharynx, or head and neck injuries.

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