Retropharyngeal abscess from an unusual organism-Kingella denitrificans-in a patient on low-dose methotrexate
| Autor: | Jaiganesh Manickavasagam, Divya M. Rajanna, Ruth Capper, Linda A. Jewes |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Neisseriaceae Infections Kingella denitrificans Cefotaxime Low dose methotrexate Psoriatic arthritis Immunocompromised Host medicine Humans Aged business.industry Retropharyngeal abscess Immunosuppression medicine.disease Retropharyngeal Abscess Surgery Anti-Bacterial Agents Airway Compromise medicine.anatomical_structure Methotrexate Otorhinolaryngology Kingella business Immunosuppressive Agents medicine.drug Respiratory tract |
| Zdroj: | Ear, nose,throat journal. 90(7) |
| ISSN: | 1942-7522 |
| Popis: | Retropharyngeal abscess can be a life-threatening emergency with potential for airway compromise. We report a case of retropharyngeal abscess caused by Kingella denitrificans in a 66-year-old Caucasian man taking low-dose methotrexate for psoriatic arthritis. K denitrificans has not been previously reported as a cause of retropharyngeal abscess. K denitrificans, along with other Kingella species, is often found to be part of the normal upper respiratory tract flora. Potentially life-threatening complications of retropharyngeal abscess can occur in immunocompromised patients. Although complications of immunosuppression are thought to be rare with the use of low-dose pulse methotrexate for non-neoplastic conditions, such complications with prolonged use of low-dose pulse methotrexate may be seen. |
| Databáze: | OpenAIRE |
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