Téllez-Bernés LM, Jiménez-López M, Hernández-Avendaño V

Language: Spanish
References: 8
Page: 296-299
PDF size: 312.77 Kb.

ABSTRACT

Arrowsmith described the first case of actinomycosis; however, the beginning of the antibiotic era ended infections due to actinomicets. The most frequently isolated organism is Actinomyces israelii. Clinical manifestations are variable and can mimic a number of diseases. Primary actinomycosis can occur on immunosuppressed patients, and secondary disease occurs because of trauma and dental manipulation. This paper reports the case of a 27-year-old male, who presented with a history of sore throat and changes in the voice for 2 months. On admission, he presented shortness of breath and limited oral opening, as well as increased volume of right palate. CT scan showed a mass on the right parapharyngeal space, displacement of the soft palate and irregular right tonsil. He was taken to the operating room finding loss of architecture of the tonsil, necrotic material and fetid gas. The surgery was uneventful and patient was discharged. This clinical presentation can be mistaken with tumors of abscess on low prevalence groups; the low probability of detecting the diagnosis, because it is unusual, can delay the treatment.

REFERENCES

1. Danic D, Penavic IP, Rubin O, Pandak N, et al. Actinomycosis and osteochondorsiradionecrosis of the hyoid bone and thyroid cartilage. J Otolaryngol Head Neck Surg 2008;37:62-64.

2. Lo Muzio L, Favia G, Lacaita M, De Lillo A, et al. The contribution of histopathological examination to the diagnosis of cervico-facial actinomicosis: a retrospective analysis of 68 cases. Eur J Clin Microbiol Infect Dis 2014;33:1915-1918.

3. Márquez RMD, González JL, Blas MJ. Actinomicosis cervicofacial. Reporte de un caso y revisión de la bibliografía. Med Int Mex 2004;20:230-232.

4. Shaheen SO, Ellis FG. Actinomycosis of the larynx. J R Soc Med 1983;76:226-228.

5. Chanussot C, Meza M, Espinosa M, Arenas R. Actinomicosis cervicofacial: comunicación de un caso con diabetes e insuficiencia renal crónica. Dermatol Rev Mex 2011;55:155-158.

6. Raj KA, Vinay K, Saikia UN, Kumaran SM. Oral squamous cell carcinoma mimicking cervico-facial actinomycosis: a rare presentation and review of literature. J Cutan Med Surg 2015;19:346-348.

7. Sari M, Yazici M, Baglam T, Inanli S, Eren F. Actinomycosis of the larynx. Acta Otolaryngol 2007;127:550-552.

8. Shikino K, Ikusaka M, Takada T. Cervicofacial actinomycosis. J Gen Intern Med 2014;30:263.