Tzu Chi Medical Journal
Volume 20, Issue 3 , Pages 218-220, September 2008

Actinomycosis of the Salivary Gland

  • Gou-Hong Li

      Affiliations

    • Department of Otolaryngology, En Chu Kong Hospital, Taipei, Taiwan
    • ,
  • Cheng-Wei Chen

      Affiliations

    • Department of Otolaryngology, En Chu Kong Hospital, Taipei, Taiwan
    • Corresponding Author InformationCorresponding author. Department of Otolaryngology, En Chu Kong Hospital, 399, Fuxing Road, Taipei, Taiwan
    • ,
  • Yi-Chun Lin

      Affiliations

    • Department of Otolaryngology, En Chu Kong Hospital, Taipei, Taiwan
    • ,
  • Phui-Ly Liew

      Affiliations

    • Department of Pathology, En Chu Kong Hospital, Taipei, Taiwan

Received 14 September 2007; received in revised form 10 October 2007; accepted 27 October 2007.

Abstract 

Actinomycetes are saprophytic bacteria of the oral cavity. They can cause a rare, chronic and suppurative reaction of the teeth and mandible, and then involve the cervical region. We present a case of salivary gland actinomycosis mimicking a neoplasm. The patient underwent surgical excision and pathology confirmed the diagnosis of actinomycosis. He took an oral form of amoxicillin for 2 months after the operation. At the 1-year follow-up, there was no evidence of recurrence. Primary actinomycosis of the salivary gland is very rare and can mimic a neoplasm both clinically and radiologically. Successful treatment relies on adequate surgical drainage or excision and prolonged antibiotic therapy.

Keywords:  Actinomycetes , Actinomycosis , Salivary gland

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PII: S1016-3190(08)60039-7

doi:10.1016/S1016-3190(08)60039-7

Tzu Chi Medical Journal
Volume 20, Issue 3 , Pages 218-220, September 2008

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