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Warthin tumor presenting as a fungal abscess in an immunocompetent host: Case report and review of the literature

✍ Scribed by Jason M. Leibowitz; Kathleen T. Montone; Devraj Basu

Publisher: John Wiley and Sons
Year: 2009
Tongue: English
Weight: 190 KB
Volume: 32
Category: Article
ISSN: 1043-3074
DOI: 10.1002/hed.21075

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✦ Synopsis

Abstract

Background

Fungal abscesses of the parotid gland are rare, and cases arising within parotid neoplasms have not been described previously. This report conveys our experience managing such an entity, which is further distinguished by its occurrence in an immunocompetent host.

Methods and Results

A 59‐year‐old man experienced multiple recurrences of a parotid fungal abscess requiring repeated drainage procedures. Definitive excision ultimately demonstrated Candida glabrata infecting a Warthin tumor.

Conclusions

This case is the first report of a parotid neoplasm presenting as a fungal abscess. It contributes to the scant literature on fungal abscesses of the parotid, which previously has only been described in debilitated hosts and without an associated neoplasm. The case also expands the spectrum of disease associated with C. glabrata. Warthin tumor may be an occult etiology for a parotid fungal abscess, and definitive diagnosis and therapy may require parotidectomy. © 2009 Wiley Periodicals, Inc. Head Neck, 2010

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