Actinomycosis presenting as a parotid tumor

Sittitrai, Pichit; Srivanitchapoom, Chonticha; Pattarasakulchai, Thienchai; Lekawanavijit, Suree

doi:10.1016/j.anl.2011.03.011

Cited by 16 publications

(22 citation statements)

References 11 publications

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“…In accordance with the literature (7,13,14,16,17,21,22,25) our patients presented with persistent, sometimes recurrent swellings, which were both tender and non-tender, and non-responsive to short-term oral antibiotics. Most studies describe a latency of infection ranging from a few weeks to over one year (12,14-17,20-23,26), whereas most of our patients presented within one week of start of symptoms. This can be explained by the more acute and rapidly progressive nature of the swellings seen in our population.…”

Section: Discussionmentioning

confidence: 71%

“…In a study performed by Park et al(7), in 4 out of 7 cases, the swelling was thought to be a malignancy, and in 2 other cases, the swelling was diagnosed as either malignancy or granulomatous disease based on radiologic diagnosis. The suspicion of a malignant mass has also been made by other studies (15,20,21,23). Definitive diagnosis is best made by histopathology after excision, fine needle aspiration or biopsy, revealing the presence of sulfur granules (7,12,13,15,16,19,20).…”

Section: Discussionmentioning

confidence: 90%

“…Five studies reported two cases of actinomycosis (12-16). The remaining studies reported cases ranging from 4 to 15 patients (17-23). Custal-Teixidor et al(17) retrospectively analyzed 15 cases, including a paediatric patient.…”

Section: Resultsmentioning

confidence: 99%

“…Thus, the paediatric patients were excluded. Different departments were involved in the treatment of these patients, including the department of otolaryngology head and neck surgery (12,16,19,20,23), dermatology (13), internal medicine (17), Microbioloby (18) plastic and reconstructive surgery (14), radiology (21), and maxillofacial surgery (13,18,22). Table 2 shows an overview of the treatment modality, treatment duration, and patient outcome retrieved in these 12 publications.…”

Section: Resultsmentioning

confidence: 99%

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Treatment of cervicofacial Actinomycosis: A report of 19 cases and review of literature

et al. 2013

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Objectives: Actinomycosis is a chronic suppurative granulomatous infection caused by the Actinomyces genus. Orocervicofacial actinomycosis is the most common form of the disease, seen in up to 55% of cases. All forms of actinomycosis are treated with high doses of intravenous penicillin G over two to six weeks, followed by oral penicillin V. Large studies on cervicofacial actinomycosis are lacking. Therefore proper guidelines for treatment and treatment duration are difficult to establish. The aim of this study is to establish effective treatment and treatment duration for orocervicofacial actinomycosis. Study design: A Pubmed and Embase search was performed with the focus on treatment and treatment duration for cervicofacial actinomycosis. The hospital records of all patients presenting to our department with head and neck infection from January 2000 to December 2010 were reviewed, retrospectively. The following data were collected: age, gender, clinical presentation, aetiology, duration of symptoms, microbiological findings, treatment, and duration of treatment. The treatment and treatment duration is subsequently compared to the literature. Results: The literature search provided 12 studies meeting the inclusion criteria. All studies were retrospective in nature. Penicillin or amoxicillin/clavulanic acid are the preferred antibiotic regimens found in the literature. Most of our patients were treated with a combination of penicillin G 12 million units/day and metronidazol 500 mg 3/day, most commonly for a duration of 1 – 4 weeks, being shorter than the 3 – 52 weeks reported in the literature. Conclusion: When actinomycosis is suspected, our review has shown that a surgical approach in combination with intravenous penicillin and metronidazol until clinical improvement is seen, followed by oral antibiotics for 2 – 4 weeks is generally efficient. Key words:Actinomycosis, actinomyces, actinomycosis treatment, cervicofacial infection, actinomycosis diagnosis, head and neck infection.

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 90%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Treatment of cervicofacial Actinomycosis: A report of 19 cases and review of literature

et al. 2013

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“…This is the second commonest tropical disease to malaria in the world. 1,56 The acutely branching filamentous non-septate 1-1.5 m diameter filaments are seen usually in aggregates in "sulfur granules" or cotton wool clusters in a background of suppuration. Schistosomiasis can cause retroperitoneal and mediastinal lymphadenopathy and there is a granulomatous reaction to the eggs which are in various stages of degeneration.…”

Section: Parasitic Infectionsmentioning

confidence: 99%

Role of fine needle aspiration biopsy cytology in the diagnosis of infections

Field

Geddie

2016

Diagnostic Cytopathology

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The role of fine needle aspiration biopsy (FNAB) cytology in diagnosing infections has expanded due to the increase in the number of immune compromised patients and the increasing role of FNAB in the developing world where infection is a major cause of illness. FNAB has become the first procedural test in cases where the clinical and imaging findings suggest an infectious lesion or where there is a differential diagnosis of infection or metastatic or primary tumor. This applies to FNAB of palpable or image directed or deep seated lesions accessed by EUS and EBUS. This article details a recommended approach and technique for FNAB of infectious lesions, and discusses the role of rapid on site evaluation and the application of ancillary testing including the rapidly expanding array of molecular tests based on FNAB material. The utility of recognizing suppurative and granulomatous infectious patterns in FNAB direct smears, and the specific cytomorphological features on routine Papanicolaou and Giemsa stains and on special stains of FNAB smears is described for a large number of bacterial, fungal, viral, parasitic, and protozoan infections. The role of cytopathologists is to now train cytopathologists in sufficient numbers to provide FNAB services, teach trainee cytopathologists and cytotechnologists, and to encourage our clinical colleagues to use FNAB in the diagnosis of infections and other lesions to the benefit of patients and the medical system. Diagn. Cytopathol. 2016;44:1024-1038. © 2016 Wiley Periodicals, Inc.

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Digitale Volumentomographie zur Diagnostik von Entzündungen der Kieferknochen

Berg

2021

Digitale Volumentomographie

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Actinomycosis presenting as a parotid tumor

Cited by 16 publications

References 11 publications

Treatment of cervicofacial Actinomycosis: A report of 19 cases and review of literature

Treatment of cervicofacial Actinomycosis: A report of 19 cases and review of literature

Role of fine needle aspiration biopsy cytology in the diagnosis of infections

Digitale Volumentomographie zur Diagnostik von Entzündungen der Kieferknochen

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