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

Cerivcofacial the light of these important diagnostic difficulties, cervicofacial actinomycosis has been referred to as the great masquerader of head and neck disease The symptom temporarily responded to short courses of antibiotics, but progressively worsened over time.

A computed tomograpy CT scan of the neck revealed an expansive large mass approximately 4. Successful treatment of primary actinomyces viscosus endocarditis with third-generation cephalosporins.

The patient, therefore, underwent surgical excision of the mass, the histopathological examination of which showed chronic inflammation with the presence of multiple granules surrounded by polymorphocytes: Create a free personal account to cervicofacizl your subscriptions, sign up for alerts, and more.

Susceptibility of Actinomyces israelii to antibiotics, sodium hypochlorite and calcium hydroxide.


Cervicofacial Actinomycosis: Diagnosis and Management.

Please review our privacy policy. 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 — 3.

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. The first of these manifestations is the most frequent, although fairly uncommon: Diagnosis of culture-positive actinomycosis was based on histopathology findings and the presence of actinomyces colonies.

Get free access to newly published articles. Published online Oct 4. 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 Since our patient presented a submandibular mass without external drainage, a glandular disease was initially suspected.

Cervicofacial Actinomycosis | JAMA Otolaryngology–Head & Neck Surgery | JAMA Network

Am J Roentgenol ; A specimen submitted to microbiologic culture revealed the presence of Fresobacterium Nucleatum, Porphyromonas Asaccharolytica and Staphylococcus Aureus. Kolm Isabel, et al. Long-term penicillin antibiotic therapy is necessary.


Even if surgery plays an important role both in the diagnosis and treatment of actinomycosis, recurrence following surgery alone is very common, and weeks of high-dose intravenous antibiotics are a fundamental part of treatment, followed by months of oral antibiotics. Abscess with sulfur granules with organisms consistent with Actinomyces species. Pathologic quiz case 1.

J Comput Assist Tomogr ;8: Miller M, Haddad AJ. Cervicofacial actinomycosis following orthognathic surgery: Head and Neck, Actinomycosis, Diagnosis.

Sign in to save your search Sign in to your personal account. Enferm Infecc Microbiol Clin ; J Oral Maxillofac Surg ; Radicular cyst with actinomycotic infection in an upper anterior tooth.

Cervicofacial Actinomycosis: Diagnosis and Management.

Computed tomography revealed a facial abscess, fistulae and draining sinus tracts. Sign in to make a comment Sign in to your personal account.

Volante M, et al. Received Nov 19; Accepted Jan 3. Our website uses cookies to enhance your experience. Am J Clin Path ; A practical algorithm management of patients with benign prostatic hyperplasia.