Diagnostic Dilemma of Midline Neck Swelling in an Elderly Patient – Case Report

Helicobacter pylori is characterized as a spiral-shaped, gram-negative bacterium that generally affects the mucosa of the stomach and duodenum.It is associated with various gastrointestinal conditions, inducing an inflammatory response in the body that mediates the production of cytokines, including interleukins, tumor necrosis factor, and interferon.The immune response is coordinated and regulated by the contribution of those mediators.The diagnosis of Helicobacter pylori infection is established through multiple method, such as blood testing for the presence of antibodies, fecal antigen testing, breath tests, or gastric biopsy.Correct diagnosis is essential for appropriate therapeutic management.The authors present the clinical case of a 54-year-old patient admitted to our clinic for clinical-biological evaluation, reporting weight loss, dry cough, localized muscle pain, accompanied by a positive Helicobacter rapid test.The issues encountered in establishing a correct diagnosis, the case's particularities, and aspects related to antibiotic treatment are presented, exemplified and discussed.Short and medium-term results highlight the progressive reduction of muscle pain and the absence of cough, with the resumption of an active lifestyle.The diagnostic approach and therapeutic management of this case involved interdisciplinar collaboration among a diabetologist, rheumatologist and gastroenterologist.Antibiotic therapy, along with the implementation of a healthy lifestyle based on a nutritious and balanced diet, along with a physical activity regimen, constitutes an essential pillar in promoting overall health and preventing bacterial reinfection.Antibiotic treatment was the sole therapeutic means used in this case.