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KMID : 0361020120550040234
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Korean Journal of Otolaryngology - Head and Neck Surgery
2012 Volume.55 No. 4 p.234 ~ p.238
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Six Cases of Cervical Actinomycosis
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Kim Kuk
Ji Seon-Yeong
Kim Kyung-Rae
Tae Kyung
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Abstract
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Actinomycosis is an unusual subacute chronic disease caused by gram-positive anaerobic organisms such as Actinomycetes israelii,A. bovis,A. odontolyticus, and A. viscosus. Actinomycetes are prominent among the normal flora of the oral cavity. Because these organisms are not virulent, a break in the integrity of mucosa is necessary to cause human illness. Three common forms of illness are cervicofacial, thoracic and abdominopelvic actinomycosis. Cervicofacial form is the most common (55%) and often occurs after oral surgery, tooth extraction and cervicofacial trauma. Cervicofacial actinomycosis is characterized by initial soft tissue swelling, along with development of fistulas that discharge purulent yellow sulfur-like material (sulfur granules). Sulfur granule is the pathognomonic pathologic finding of actinomycosis but it has not been reported in all cases. Here, we report 6 cases of cervical actinomycosis that were trea-ted with surgical intervention and administration of proper antibiotics, with the review of literatures.
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KEYWORD
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Cervicofacial actinomycosis, Actinomycosis
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