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 symptom...

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Veröffentlicht in:	HNO 2012-07, Vol.60 (7), p.622
Hauptverfasser:	Jeleff, O, Gutmann, C, Greminger, P, Binet, I, Stöckli, S J, Broglie, M A
Format:	Artikel
Sprache:	ger
Schlagworte:	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
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description	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.
doi_str_mv	10.1007/s00106-011-2469-7
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subjects	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
title	Purulent lymphadenitis after peritonsillar abscess under immunosuppression. An often forgotten differential diagnosis
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