1887

Abstract

Introduction:

Pharyngeal carcinoma and neck abscesses are not uncommon, but neck infection as the initial presentation of primary head and neck cancer is rare, and these patients risk potential misdiagnosis.

Case presentation:

We report our experience with two patients who had an unusual first presentation of pharyngeal cancer – a deep neck infection and a relapsing abscess of the thyroid gland.

Conclusion:

Our case series demonstrates the need for meticulous physical examination of the head and neck in all patients presenting with neck abscess. It is important to consider malignant tumour as a possible cause of deep neck infection and an abscess of the thyroid gland. Diagnosis and subsequent treatment is delayed if malignancy is not clinically suspected.

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2016-04-08
2019-10-22
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References

  1. Adeyemo A., Adeosun A., Adedapo K.. 2010; Unusual cause of thyroid abscess. Afr Health Sci 10: 101– 103 [PubMed]
    [Google Scholar]
  2. Amar A., Curioni O. A., de Paiva D. L., Rapoport A., Dedivitis R. A., Cernea C. R., Brandão L. G.. 2013; Epidemiological assessment and therapeutic response in hypopharyngeal cancer. Braz J Otorhinolaryngol 79: 500– 504 [CrossRef] [PubMed]
    [Google Scholar]
  3. Bakir S., Tanriverdi M. H., Gün R., Yorgancilar A. E., Yildirim M., Tekbaş G., Palanci Y., Meriç K., Topçu I.. 2012; Deep neck space infections: a retrospective review of 173 cases. Am J Otolaryngol 33: 56– 63 [CrossRef] [PubMed]
    [Google Scholar]
  4. Bravo E., Grayev A.. 2011; Thyroid abscess as a complication of bacterial throat infection. J Radiol Case Rep 5: 1– 7 [PubMed]
    [Google Scholar]
  5. Celakovsky P., Kalfert D., Smatanova K., Tucek L., Cermakova E., Mejzlik J., Kotulek M., Vrbacky A., Matousek P., other authors. 2015; Bacteriology of deep neck infections: analysis of 634 patients. Aust Dent J 60: 212– 215 [CrossRef] [PubMed]
    [Google Scholar]
  6. Daramola O. O., Flanagan C. E., Maisel R. H., Odland R. M.. 2009; Diagnosis and treatment of deep neck space abscesses. Otolaryngol Head Neck Surg 141: 123– 130 [CrossRef] [PubMed]
    [Google Scholar]
  7. Döbrossy L.. 2005; Epidemiology of head and neck cancer: magnitude of the problem. Cancer Metastasis Rev 24: 9– 17 [CrossRef] [PubMed]
    [Google Scholar]
  8. Eftekharian A., Roozbahany N. A., Vaezeafshar R., Narimani N.. 2009; Deep neck infections: a retrospective review of 112 cases. Eur Arch Otorhinolaryngol 266: 273– 277 [CrossRef] [PubMed]
    [Google Scholar]
  9. Ilyin A., Zhelonkina N., Severskaya N., Romanko S.. 2007; Nonsurgical management of thyroid abscess with sonographically guided fine needle aspiration. J Clin Ultrasound 35: 333– 337 [CrossRef] [PubMed]
    [Google Scholar]
  10. Jacobs A., Gros D. A. C., Gradon J. D.. 2003; Thyroid abscess due to Acinetobacter calcoaceticus: case report and review of the causes of and current management strategies for thyroid abscesses. South Med J 96: 300– 307 [CrossRef] [PubMed]
    [Google Scholar]
  11. Lee Y. Q., Kanagalingam J.. 2011; Bacteriology of deep neck abscesses: a retrospective review of 96 consecutive cases. Singapore Med J 52: 351– 355 [PubMed]
    [Google Scholar]
  12. Lin Y. Y., Hsu C. H., Lee J. C., Wang H. W., Lin Y. S., Wang C. H., Kao C. H., Su W. F., Chu Y. H.. 2012; Head and neck cancers manifested as deep neck infection. Eur Arch Otorhinolaryngol 269: 585– 590 [CrossRef] [PubMed]
    [Google Scholar]
  13. Liu C. F., Weng S. F., Lin Y. S., Lin C. S., Lien C. F., Wang J. J.. 2013; Increased risk of deep neck infection among HIV-infected patients in the era of highly active antiretroviral therapy – a population-based follow-up study. BMC Infect Dis 13: 183 [CrossRef] [PubMed]
    [Google Scholar]
  14. Ridder G. J., Technau-Ihling K., Sander A., Boedeker C. C.. 2005; Spectrum and management of deep neck space infections: an 8-year experience of 234 cases. Otolaryngol Head Neck Surg 133: 709– 714 [CrossRef] [PubMed]
    [Google Scholar]
  15. Rohondia O. S., Koti R. S., Majumdar P. P., Vijaykumar T., Bapat R. D.. 1995; Thyroid abscess. J Postgrad Med 41: 52– 54 [PubMed]
    [Google Scholar]
  16. Sai Prasad T. R., Chong C. L., Mani A., Chui C. H., Tan C. E., Tee W. S., Jacobsen A. S.. 2007; Acute suppurative thyroiditis in children secondary to pyriform sinus fistula. Pediatr Surg Int 23: 779– 783 [CrossRef] [PubMed]
    [Google Scholar]
  17. Sakarya E. U., Kulduk E., Gündoğan O., Soy F. K., Dündar R., Kılavuz A. E., Özbay C., Eren E., l˙mre A.. 2015; Clinical features of deep neck infection: analysis of 77 patients. Kulak Burun Bogaz Ihtis Derg 25: 102– 108 [CrossRef] [PubMed]
    [Google Scholar]
  18. Soon S. R., Kanagalingam J., Johari S., Yuen H. W.. 2012; Head and neck cancers masquerading as deep neck abscesses. Singapore Med J 53: 840– 842 [PubMed]
    [Google Scholar]
  19. Tien K. J., Chen T. C., Hsieh M. C., Hsu S. C., Hsiao J. Y., Shin S. J., Hsin S. C.. 2007; Acute suppurative thyroiditis with deep neck infection: a case report. Thyroid 17: 467– 469 [CrossRef] [PubMed]
    [Google Scholar]
  20. Wang C. P., Ko J. Y., Lou P. J.. 2006; Deep neck infection as the main initial presentation of primary head and neck cancer. J Laryngol Otol 120: 305– 309 [CrossRef] [PubMed]
    [Google Scholar]
  21. Wang L. F., Tai C. F., Kuo W. R., Chien C. Y.. 2010; Predisposing factors of complicated deep neck infections: 12-year experience at a single institution. J Otolaryngol Head Neck Surg 39: 335– 341 [PubMed]
    [Google Scholar]
  22. Yang W., Hu L., Wang Z., Nie G., Li X., Lin D., Luo J., Qin H., Wu J., other authors. 2015; Deep neck infection: a review of 130 cases in Southern China. Medicine (Baltimore) 94: e994 [CrossRef] [PubMed]
    [Google Scholar]
  23. Yu E. H., Ko W. C., Chuang Y. C., Wu T. J.. 1998; Suppurative Acinetobacter baumanii thyroiditis with bacteremic pneumonia: case report and review. Clin Infect Dis 27: 1286– 1290 [CrossRef] [PubMed]
    [Google Scholar]
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