Medical Management for the Treatment of Nontuberculous Mycobacteria Infection of the Parotid Gland: Avoiding Surgery May Be Possible
Joint Authors
Kay-Rivest, Emily
Bouhabel, Sarah
Oughton, Matthew Thomas
Hier, Michael Peter
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-06-01
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Infection with nontuberculous mycobacteria (NTM) is uncommon in the head and neck; therefore there is no clear consensus on treating these infections.
Our objective was to report our experience with a unique case of NTM infection of the parotid in an immunocompetent patient, in order to determine appropriate management through our experience with this pathology.
A 57-year-old man, known for numerous comorbid diseases, presented to our institution complaining of right parotid swelling and pain.
A computed tomography (CT) of the neck showed a multiloculated collection in the inferior portion of the right parotid gland, compatible with abscess formation.
This abscess was drained by interventional radiology (IR) but required repeat drainage twice due to lack of initial improvement.
He was treated with several antibiotics as culture results initially indicated Gram-positive bacilli and then Mycobacterium species, with final identification by a reference laboratory as Mycobacterium abscessus.
Imipenem was initiated with amikacin and clarithromycin.
His infection clinically and radiologically resolved after 5 months of antibiotherapy.
In our case, the patient improved following intravenous antibiotic therapy.
Our experience demonstrates that appropriate antibiotherapy can lead to resolution of Mycobacterium abscessus infection in the parotid without the risks associated with surgical intervention.
American Psychological Association (APA)
Kay-Rivest, Emily& Bouhabel, Sarah& Oughton, Matthew Thomas& Hier, Michael Peter. 2016. Medical Management for the Treatment of Nontuberculous Mycobacteria Infection of the Parotid Gland: Avoiding Surgery May Be Possible. Case Reports in Medicine،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1101105
Modern Language Association (MLA)
Kay-Rivest, Emily…[et al.]. Medical Management for the Treatment of Nontuberculous Mycobacteria Infection of the Parotid Gland: Avoiding Surgery May Be Possible. Case Reports in Medicine No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1101105
American Medical Association (AMA)
Kay-Rivest, Emily& Bouhabel, Sarah& Oughton, Matthew Thomas& Hier, Michael Peter. Medical Management for the Treatment of Nontuberculous Mycobacteria Infection of the Parotid Gland: Avoiding Surgery May Be Possible. Case Reports in Medicine. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1101105
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101105