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Anales de Otorrinolaringología Mexicana

Anales de Otorrinolaringología Mexicana
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2018, Number 3

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Otorrinolaringología 2018; 63 (3)

Role of Actinomyces spp in chronic tonsillitis and obstructive disease

Mancera-Sánchez J, Cordero-Yanza JA, Hernaiz-Leonardo JC, López-Garza NS, Mena-Ayala JC
Full text How to cite this article

Language: Spanish
References: 10
Page: 97-101
PDF size: 318.68 Kb.


Key words:

Tonsillectomy, Chronic tonsillitis, Actinomyces.

ABSTRACT

Background: In current otorhinolaringology, tonsillectomy is one of the most frequently executed procedures, nevertheless there are no up to date reports on Actinomyce’s prevalance in the national literature, or information on its relation with tonsil hypertrophy and obstructive pathology.
Objective: To determine the prevalence of Actinomyes spp in palatine tonsils and its relation with obstructive tonsils and chronic infectious pathology.
Material and Method: A retrospective, transversal, descriptive and observational protocol was done with post-tonsillectomy patients treated at National Institute of Rehabilitation of Mexico from January 2012 to June 2015. Two groups were formed according to the hystopathologic results, which were either positive or negative to the presence of Actinomyces, and its relation with obstructive pathology and chronic tonsillitis.
Results: There were included 417 patients. The prevalence of Actinomyces in the 417 patients was 10.5%. Out of the 44 patients with positivity to Actinomyces, 27 (61%) presented obstructive pathology, and 17 (39%) chronic tonsillitis; in comparison, out of the 373 patients with negative bacteria result, 161 (43%) had obstructive pathology and 212 (57%) chronic tonsillitis. The comparative analysis demonstrated significant differences between both groups (p = 0.025).
Conclusions: Actinomyces prevalence is similar to the one reported in the international literature. This study demonstrates that there is a relation between patients with obstructive pathology and the presence of Actinomyces.


REFERENCES

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  2. Kutluhan, Ahmet, Mehti, et al. The role of the Actinomyces in obstructive tonsillar hypertrophy and recurrent tonsillitis en pediatric population. Int J Pediatr Otorhinolaryngol 2011;75:301-304

  3. Pransky S, Feldman J, Kearns D, et al. Actinomycosis in obstructive tonsillar hypertrophy and recurrent tonsillitis. Arch Otolaryngol-Head Neck Surg 1991;117(8):883-885.

  4. Van Lierop A, Prescott A, Sinclair-Smith C. An investigation of the significance of actinomycosis in tonsil disease. Int J Pediatr Otorhinolaryngol 2007;71:1883-1888.

  5. Alasil SM, Omar R, Ismail S, et al. Evidence of bacterial biofilms among infected and hypertrophied tonsils in correlation with the microbiology, histopathology, and clinical symptoms of tonsillar diseases. Int J Otolaryngol 2013:1-11.

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  7. Bhargava D, Bhusnurmath B, Sundaram K, et al. Tonsillar actinomycosis: a clinicopathological study. Acta Tropica 2001;80(2):163-168.

  8. Toh S, Yuen H, Goh Y, Actinomyces colonization of tonsils: a comparative study between patients with and without recurrent tonsillitis. J Laryngol Otol 2007;121:775-778.

  9. Sánchez Marin et al. Estudio histopatológico en piezas de amigdalectomia y adenoidectomia: análisis costo-beneficio. An Otorrinolaringol Mex 2000;45(2):6264.

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Otorrinolaringología. 2018;63