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Canadian Journal of Infectious Diseases
Volume 4 (1993), Issue 4, Pages 229-231
http://dx.doi.org/10.1155/1993/829573
Case Report

Extrapulmonary Abscess Formation due to Pseudomonas cepacia in a Cystic Fibrosis Patient

Joanne M Langley, E Lee Ford-Jones, Derek C Armstrong, Ronald Gold, Stanley Read, and Henry Levison

Department of Pediatrics, Divisions of Infectious Diseases, Pulmonary Medicine, The Hospital for Sick Children, University of Toronto, Ontario, Canada

Received 21 July 1992; Accepted 16 December 1992

Copyright © 1993 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 19-year-old immunocompetent cystic fibrosis patient with recurrent neck abscesses due to a multiresistant Pseudomonas cepacia is described. After 13 drainage procedures over a two-year period, a trial of interferon-gamma therapy to enhance monocyte function was attempted. The patient had one minor recurrence but has otherwise been symptom free for almost two years. P cepacia is an unusual cause of extrapulmonary abscess formation. Such abscesses may not present with classical signs of inflammation, are likely to be multiresistant and to require surgical drainage. Immunotherapy may be justified in the immunocompetent host when infection is refractory to medical and surgical therapy.