Adenitis cervical unilateral por Staphylococcus aereus en un paciente adulto, presentación de un caso.

Laura Verde, M. Muñoz-Guerra, A. Capote-Moreno, Lidia Castillo Gázmez, Philip Brabyn, Luis Naval-Gías
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Abstract

Due to the fact that in more than 50 % of cases the appearance of adenopathy in patients over 40 years of age is of probable tumor etiology, the management of cervical masses in adult patients should include the necessary tests to rule out a malignant process. The differential diagnosis is fundamental in this type of lesions, identifying the risk factors, symptoms and signs that orient towards the etiology (congenital, neoplastic, inflammatory or infectious). As concerns cervical adenopathies of infectious cause, they are more frequent in children. However, adults also usually develop them as a consequence of oral or pharyngotonsillar pathology. In these cases, a rapid response to empirical treatment is observed. However, if there is no resolution of the picture with such treatment within 2-3 weeks, it is necessary to extend the study by means of complementary tests. We present a rare case of suppurative lymphadenitis due to Staphylococcus aereus in the cervical region in a 45-year-old woman who presented to the emergency department with a cervical mass.
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成年患者单侧宫颈腺炎,一例。
由于在超过50%的病例中,40岁以上的患者出现的腺病可能是肿瘤病因,因此对成年患者宫颈肿块的处理应包括必要的检查,以排除恶性过程。鉴别诊断是这类病变的基础,确定病因(先天性、肿瘤性、炎症性或感染性)的危险因素、症状和体征。至于感染性宫颈腺病,多见于儿童。然而,成年人也通常发展为口腔或咽扁桃体病理的结果。在这些情况下,观察到对经验治疗的快速反应。但是,如果在2-3周内处理后的图像仍没有分辨率,则需要通过补充试验的方式延长研究。我们提出一个罕见的化脓性淋巴结炎由于葡萄球菌在宫颈区域,在45岁的妇女谁提出了宫颈肿块急诊科。
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来源期刊
CiteScore
0.20
自引率
0.00%
发文量
12
期刊介绍: La Revista Española de Cirugía Oral y Maxilofacial editada por Ergon es una publicación oficial de la Sociedad Española de Cirugía Oral y Maxilofacial (SECOM) Entre los objetivos de la revista se encuentran la difusión científica de la especialidad de Cirugía Oral y Maxilofacial y servir de medio de publicación para todos los miembros de la SECOM así como especialistas afines. Las áreas de interés de la revista son la científica, investigadora, informativa de eventos, becas, premios y revisiones bibliográficas.
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