Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
권호 표지

A Case of Parotid Actinomycosis Mimicking Parotid Gland Tumor

이하선 종양으로 오인된 방선균증 1예

  • Kwon, Seong-Keun (Department of Otolaryngology-Head and Neck Surgery, Dongguk University Ilsan Hospital) ;
  • Chi, Jun-Hyuk (Department of Otolaryngology-Head and Neck Surgery, Dongguk University Ilsan Hospital)
  • 권성근 (동국대학교 일산병원 이비인후-두경부외과) ;
  • 지준혁 (동국대학교 일산병원 이비인후-두경부외과)
  • Published : 2010.11.26
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Abstract

Actinomycosis is an unusual granulomatous infection caused by gram-positive anaerobic bacteria called Actinomyces species(predominantly Actinomyces israelii), which is a common and normally nonpathogenic organism found in the nose and throat. The three major clinical presentations of actinomycosis include the cervico-facial(the most common, 55%), thoracic, and abdominopelvic region. Actinomycosis typically has a chronic, indolent course characterized by swelling and induration of the soft tissues and eventual spontaneous drainage through multiple sinus tracts. Actinomycosis is difficult to diagnose because of variable presentation mimicking neoplasm and fastidious nature of the organism in culture. We present a case of actinomycosis in the parotid tip area which was mistaken for a salivary tumor.

Keywords

References

  1. Varghese BT, Sebastian P, Ramachandran K, Pandey M. Actinomycosis of the parotid masquerading as malignant neoplasm. BMC Cancer. 2004;4:7. https://doi.org/10.1186/1471-2407-4-7
  2. Lancella A, Abbate G, Foscolo AM, Dosdegani R. Two unusual presentations of cervicofacial actinomycosis and review of the literature. Acta Otorhinolaryngol Ital. 2008;28:89-93.
  3. Park BJ, Kim TH, Kim JH, Han DH. A case of actinomycosis arising in parotid gland. Korean J Otolaryngol. 2004;47:486-489.
  4. Volante M, Contucci AM, Fantoni M, Ricci R, Galli J. Cervicofacial actinomycosis: still a difficult differential diagnosis. Acta Otorhinolaryngol Ital. 2005;25(2):116-119.
  5. Hwang WH, Park JJ, Jeon SY, Lee JH. Case report: Cervicofacial actinomycosis-misdiagnosed to parotid abscess. Korean J Otolaryngol. 2007;50:87-89.
  6. Hong SJ, Joo JB, Kim YJ, Lee BJ. Three cases of actinomycosis of the head and neck. Korean J Otolaryngol. 2000;43:1259-1262.
  7. Park JK, Lee HK, Ha HK, Choi HY, Choi CG. Cervicofacial actinomycosis: CT and MR imaging findings in seven patients. Am J Neuroradiol. 2003;24:331-335.
  8. Yoon MY, Seo KS, Cho HC, Lee JK. Actinomycosis presenting as a nasopharyngeal mass: a case report. Korean J Otolaryngol. 2006;49:663-665.
  9. Lee SJ, Chung PS, Kim YS, Myoung NH. A case of submandibular sialolithiasis due to actinomcosis. Korean J Otolaryngol. 2006;49:949-951.