Deep Neck Infection Caused by <i>Pseudomonas aeruginosa</i>

Pseudomonas aeruginosa (P. aeruginosa) infection, often diagnosed in immunocompromised patients, is a chronic disease. However, peritonsillar and deep cervical abscesses caused by P. aeruginosa are rare. We herein present the rare case of a 70-year-old male patient with a 5-day history of sore throat and difficult oral intake. The oral cavity was filled with pus and the left palatine tonsil was destroyed. A peritonsillar abscess caused by P. aeruginosa was diagnosed using a pus culture. Emergency incisions were made for tonsil drainage, tracheostomy, and antibacterial drug treatment. Despite infection resolution in 20 days, recovery from swallowing dysfunction required one year of rehabilitation.

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Publication Details

Journal
Internal Medicine
Published
2025-04-11
DOI
https://doi.org/10.2169/internalmedicine.4756-24
Primary Topic
Otolaryngology and Infectious Diseases
Type
article
Field-Weighted Citation Impact
0.00
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article

Deep Neck Infection Caused by Pseudomonas aeruginosa

Masako Uno, Katsumasa Koyama, Yuichiro Iwamoto, Ryo Shirai et al.
Internal Medicine
Otolaryngology and Infectious Diseases
article

Deep Neck Infection Caused by Pseudomonas aeruginosa

Masako Uno, Katsumasa Koyama, Yuichiro Iwamoto, Ryo Shirai, Yoshinori Fujita, Takeshi Akisada, Koichi Tomoda
article en

Abstract

Pseudomonas aeruginosa (P. aeruginosa) infection, often diagnosed in immunocompromised patients, is a chronic disease. However, peritonsillar and deep cervical abscesses caused by P. aeruginosa are rare. We herein present the rare case of a 70-year-old male patient with a 5-day history of sore throat and difficult oral intake. The oral cavity was filled with pus and the left palatine tonsil was destroyed. A peritonsillar abscess caused by P. aeruginosa was diagnosed using a pus culture. Emergency incisions were made for tonsil drainage, tracheostomy, and antibacterial drug treatment. Despite infection resolution in 20 days, recovery from swallowing dysfunction required one year of rehabilitation.

Internal MedicineVol. 64(20)
Kawasaki Medical School (JP), Kawasaki Medical School Hospital (JP)
Good health and well-being
Openalex Percentile: Top 90%
Otolaryngology and Infectious Diseases
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