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

HNO. 2012 Jul;60(7):622-5. doi: 10.1007/s00106-011-2469-7.
[Article in German]

Abstract

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.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Aged
  • Diagnosis, Differential
  • Humans
  • Immunosuppressive Agents / adverse effects*
  • Male
  • Neck / pathology
  • Peritonsillar Abscess / chemically induced*
  • Peritonsillar Abscess / pathology*
  • Skin Ulcer / chemically induced*
  • Skin Ulcer / pathology*
  • Tuberculosis / chemically induced*
  • Tuberculosis / diagnosis*

Substances

  • Immunosuppressive Agents