PNEUMOCOCCAL PAROTITIS AND CERVICAL LYMPH-NODE ABSCESSES IN AN HIV-INFECTED PATIENT

The case of a 33-year-old patient with rapid onset of bilateral paroti d gland and lymph node abscesses is described. The patient was positiv e for human immunodeficiency virus 1 and presented with a history of i nterstitial lymphocytic pneumonia and pneumococcal meningitis prior to admission. The patient received cotrimoxazole as primary prophylaxis against Pneumocystis carinii pneumonia. Fine needle aspiration from th e abscesses yielded Streptococcus pneumoniae. Penicillin G treatment i n combination with surgical drainage of the lesions led to healing wit h minimal residual lymph node enlargement. No relapse was noted until 12 months after presentation.