title: [Purulent lymphadenitis after peritonsillar abscess under immunosuppression. An often forgotten differential diagnosis].
abstract: In the present case study, a 75-year-old, immunosuppressed man presented with recurrent cervical abscesses after a peritonsillar abscess. In the cervical region, an ulcer developed with persistent wound healing deficit. Subsequently, the patient's general condition deteriorated, showing symptoms of a Landouzy sepsis. In the course of the examination, Mycobacteria tuberculosis was detected in the cervical ulcer. He suffered from latent tuberculosis, which was reactivated by a combination of his disease, immunosuppressive therapy and the preceding peritonsillar abscess. Upon treatment with tuberculostatics, the patient fully recovered.
authors.affiliation: Hals-Nasen-Ohrenklinik, Kantonsspital St. Gallen, Rorschacher Straße 95, St. Gallen, Switzerland. Olivia.Jeleff@med.uni-muenchen.de
authors.forename: O
authors.initials: O
authors.lastname: Jeleff
authors.forename: C
authors.initials: C
authors.lastname: Gutmann
authors.forename: P
authors.initials: P
authors.lastname: Greminger
authors.forename: I
authors.initials: I
authors.lastname: Binet
authors.forename: S J
authors.initials: SJ
authors.lastname: Stöckli
authors.forename: M A
authors.initials: MA
authors.lastname: Broglie
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D006801:Humans; D007166:Immunosuppressive Agents / Q000009:adverse effects*; D008297:Male; D009333:Neck / Q000473:pathology; D000039:Peritonsillar Abscess / Q000139:chemically induced* / Q000473:pathology*; D012883:Skin Ulcer / Q000139:chemically induced* / Q000473:pathology*; D014376:Tuberculosis / Q000139:chemically induced* / Q000175:diagnosis*
chemical_list: D007166:Immunosuppressive Agents