Suppurative lymphadenitis

Case contributed by Bita Abbasi
Diagnosis certain

Presentation

A diabetic woman presented to the emergency department with swelling and pain in the right submandibular area.

Patient Data

Age: 60 years
Gender: Female
ct

There is diffuse swelling in the soft tissue of the right submandibular space. A round collection with peripheral enhancement is noted within the submandibular space that suggests abscess formation (suppurative lymphadenitis). Note that the internal jugular vein is not thrombosed, an important negative finding. 

Case Discussion

This is a case of suppurative lymphadenitis. The aspiration specimen culture revealed pseudomonas infection.

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