A Case of Submandibular Abscess Caused by Mycobacterium fortuitum

• Mukaide Mitsuhiro

  Department of Otolaryngology, St. Marianna University Seibu Hospital

• Hyoudou Makoto

  Department of Otolaryngology, St. Marianna University Seibu Hospital

• Okada Tomoyuki

  Department of Otolaryngology, St. Marianna University Seibu Hospital

• Miyamoto Yasuhiro

  Department of Otolaryngology, St. Marianna University School of Medicine

• Koizuka Izumi

  Department of Otolaryngology, St. Marianna University School of Medicine

書誌事項

タイトル別名

• A Case of Submandibular Abscess Caused by <i>Mycobacterium fortuitum </i>

抄録

Three months beforehand, a 13-year-old boy had a strange feeling in his left submandibular area. However, since there was neither a fever nor pain, he adopted a wait-and-see attitude. He noticed a swelling of the left submandibular area about one month prior to presenting at our department, and he came for a checkup. In the initial examination, although neither fever nor pain was present, we found a palpable hard lesion in his left submandibular area. A blood examination showed a WBC count of 7400 and a CRP level of 0.62. Under the diagnosis of a suspected submandibular inflammatory lesion of some kind, we started oral antibiotic (CFPN), and scheduled a further examinaiton after CT imaging. On the following day, the swelling of his lesion increased, and we examined him again 3 days after that. The enhanced CT imaging showed an extensive inflammatory lesion with abscess formation. We hospitalized him that day and we started antibiotics (FMOX+CLDM) via intravenous drip infusion. We conducted the enhanced CT imaging again on the 7^th day of hospitalization, but despite the antibiotics the abscess had not improved. We performed abscess drainage under local anesthesia, and inserted a penrose drain. We conducted laboratory culture of the pus and continued intravenous drip infusion (CFPN+CLDM). On the 15^th day, the culture result showed non-tubercular anti-acid fungal infection, and we changed the antibiotic to oral administration (LVFX) based on the drug sensitivity test result. The patient had the drain tube extracted on the 26^th day, and he left hospital on the 30^nd post-admission day. After that, we continued oral antibiotics (STFX) on an outpatient basis. The swelling of his lesion improved and the operative incision had healed four months after leaving the hospital. About seven months after leaving the hospital, full recovery from the pathology was seen on CT and MRI imaging, and we stopped the medication.

収録刊行物

• 耳鼻咽喉科臨床　補冊

  耳鼻咽喉科臨床　補冊 140 (0), 118-119, 2014

  耳鼻咽喉科臨床学会

キーワード

• abscess
• <i>Mycobacterium fortuitum</i>
• quinolone

詳細情報

• CRID: 1390282679300320256
• NII論文ID: 130004707414
• DOI: 10.5631/jibirinsuppl.140.118
• ISSN: 21851557
• ISSN: 09121870
• 本文言語コード: en
• データソース種別:
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  • Crossref
  • CiNii Articles
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