A 77-year-old man was brought to our hospital by ambulance. His presenting complaints
were worsening fatigue that had developed a week previously, followed by fever and
a 2-day history of right wrist pain. He was unable to walk owing to extreme fatigue.
He had been diagnosed with pharyngeal squamous carcinoma 2 years and 2 months previously
and treated with chemotherapy and bioradiotherapy, which had resulted in complete
remission. One year and 4 months previously, however, the carcinoma had recurred,
and 1 year previously he had undergone a pharyngolaryngectomy and esophagectomy as
salvage therapy for recurrent lesions with reconstruction using a free jejunal autograft,
and a permanent tracheostomy was created.
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References
- Streptococcus agalactiae infective endocarditis: analysis of 30 cases and review of the literature, 1962-1998.Clin Infect Dis. 2002; 34: 1576-1584https://doi.org/10.1086/340538
- Severe infective endocarditis in a healthy adult due to Streptococcus agalactiae.Int J Infect Dis. 2015; 38: 43-45https://doi.org/10.1016/j.ijid.2015.07.009
- Recurrent bacterial translocation from gut and sepsis in head and neck cancer patients and its prevention by probiotics.Med Hypotheses. 2018; 120: 124-127https://doi.org/10.1016/j.mehy.2018.08.020
Article info
Publication history
Published online: July 20, 2021
Footnotes
Funding: None.
Conflicts of Interests: None.
Authorship: Both authors had access to the data and a role in writing this manuscript.
Identification
Copyright
© 2021 Elsevier Inc. All rights reserved.
