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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Fine needle aspiration cytology of cervicofacial actinomycosis. Enferm Infecc Microbiol Clin ; Actinomycosis of tonsil masquerading as tumour in a year-old child.

Miller M, Haddad AJ. Get free access to newly published articles Create a cervkcofacial account or sign in to: Initially, the mass may be surrounded by induration or erythema; later, it may become tender to palpation, on account of a central necrosis process 17 National Center for Biotechnology InformationU.

Abscess with sulfur granules with organisms consistent with Actinomyces species. More commonly, the diagnosis is made via culture or biopsy.

Cervicofacial Actinomycosis

The patient made a complete recovery and, moreover, follow-up revealed no recurrence of the infection. Actinomyces, facial abscess, formation of fistulae. Miller M, Haddad AJ. Japan Find articles by Masatomi Ikusaka. Although Crevicofacial rarely involves the lymph nodes, regional lymphadenopathy is sometimes observed. Antimicrobial susceptibility testing of Actinomyces species with 12 antimicrobial agents. Br J Oral Surg ; Cervicofacial actinomycosis results when this organism infects the head and neck area.

A firm, indurated mass, on or near the mandible with associated abscess formation or draining sinus tract, is a typical physical finding in this disease. A haematic-caseous discharge from the lower fluctuant portion of the mass was collected through a percutaneous incision.

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In conclusion, although it is a rare infectious cervicofacial disease, actinomycosis of the head and neck represents, among neck masses, an interesting disease, on account of the difficulties involved in the diagnosis. Int J Pediatr Otorhinolaryngol ; 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 Cericofacial Center Support Center.

Cervicofacial Actinomycosis: Diagnosis and Management.

Head and neck examination revealed a 4 x 4 cm cervjcofacial in the right submandibular region, which was tender upon palpation and partially fixed on the deep tissue planes, covered by slightly erythematous skin, but without breakdown associated with the mass. Routine blood tests were normal and PPD was placed which was found to be nonreactive and there was no response to PPD.

A computed tomograpy CT scan of the neck revealed an expansive large mass approximately 4. Author information Article notes Copyright and License information Disclaimer.

Antibiotic therapy, previously prescribed cerviicofacial a physician, did not lead to a decrease actinomycoosis size of the mass. Anaerobic infections of the head and neck. A study of subjects. Over the last few years, as investigators have been searching actinomtcosis less invasive diagnostic techniques, fine-needle aspiration FNA has become more and more important, since not only does it allow morphologic identification, comparable to that obtained from incisional biopsy, but is also an effective means of collecting material for microbiologic identification 24 — The macroscopic presence of the classic sulfur granules in tissue specimens or drainage may be of some help when making diagnosis, even if these features are not pathognomic, since nocardiosis may also present with sulfur granules Sign in to make a comment Sign in to your personal account.


Patients with actinomycosis tend to be misdiagnosed with malignancy or granulomatous disease. Finally, surgical excision of the mass is now the last essential step to make a definitive diagnosis and define the appropriate antibiotic therapy. Pediatric actinomycosis of the head and neck. Several Authors agree that incisional biopsy can be of great help in the diagnosis of actinomycosis, since microscopic examination reveals a typical finding of an outer zone of granulation and a central zone of necrosis which contains multiple basophilic granules, that represent lobulated micro-colonies of Actinomyces 5.

Privacy Policy Terms of Use. Purchase access Subscribe to the journal. Self-destruction of abscesses and formation of fistulae are observed in chronic stages. Author information Article notes Copyright and License information Disclaimer.

Acta Otorhinolaryngol Italica ; 25 2: Tseng, Shuei-Kuen, et al. The symptom temporarily responded to short courses of antibiotics, but progressively worsened over time. Journal List Acta Otorhinolaryngol Ital v. Volante M, et al. Since our patient presented a submandibular mass without external drainage, a glandular disease was initially suspected.

Grzegorz Barszczewski 1. Atypical presentations of actinomycosis.

Cervicofacial Actinomycosis

Sulfur granules, when present, are diagnostic. A study of 57 cases of actinomycosis over a year period. Stewart MG, Sulek M. These bacteria are all normal commensals of the human oral cavity 3 11 14 —