A year-old woman with a history of rheumatoid arthritis and on immunosuppressive agents presented with a two month history history of. This infection typically occurs following oral surgery or in patients with poor dental hygiene. Cervicofacial actinomycosis is characterized in the. BACKGROUND AND PURPOSE: Cervicofacial actinomycosis is uncommon, but without proper treatment it causes extensive tissue destruction. Early diagnosis.

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Cervicofacial Actinomycosis

The patient denied any history of oromaxillofacial trauma or recent dental extraction. InCope classified actinomycosis infection into three distinct clinical forms: Successful treatment of thoracic actinomycosis with ceftriaxone. Long-term penicillin antibiotic therapy is necessary. Patients with actinomycosis tend to be misdiagnosed with malignancy or granulomatous disease.

Create a free personal account to access your subscriptions, sign up for alerts, and more. Routine blood tests were normal and PPD was placed which was found to be nonreactive and there was no response to PPD.


Three cases of cervicofacial actinomycosis are reviewed. Privacy Policy Terms of Use. Anaerobic infections of the head and neck.

Acta Otorhinolaryngol Italica ; 25 2: Japan Find articles by Kiyoshi Shikino. Actinomyces Israelii is a gram-positive micro organism with worldwide distribution.

A study of subjects. Ann Intern Med ; Pathologic quiz case 1. Fine needle aspiration cytology of cervicofacial actinomycosis. Open in a separate window. The infection, most commonly, presents as a chronic, often fluctuant mass, frequently located at the border of the mandible, becoming progressively larger within weeks or months Kolm Isabel, et al.

Cervicofacial actinomycosis: still a difficult differential diagnosis

Introduction Actinomycosis is a suppurative and granulomatous chronic infectious disease, that usually spreads into adjacent soft tissues without regard for tissue planes or lymphatic drainage; it may also be associated with a draining sinus tract 1 actlnomycosis 3.

J Natl Med Assoc ; Create a free personal account to download free article PDFs, sign up for alerts, and more. A practical algorithm management of patients with benign prostatic hyperplasia.


Excision biopsy of the right cheek revealed a central neutrophilic, lobulated abscess with round basophilic masses, a narrow eosinophilic border, and thin basophilic radiating filaments at the periphery with a dense, granular core Fig.

Actinomycosis of tonsil masquerading as tumour in a year-old child. The infection usually results from the actinlmycosis or mucosal lesions.

Cervicofacial Actinomycosis

National Center for Biotechnology InformationU. Smith AJ, et al.

Volante M, et al. Ann Otol Rhinol Laryngol ; Self-destruction of abscesses and formation of fistulae are observed in chronic stages. Penicillin is the drug of choice; tetracycline and erythromycin are employed in patients allergic to penicillin 9 28 Cervicofacial actinomycosis results when this organism infects the head and neck area.

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