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.

Article Outline

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

No full text is available. To read the body of this article, please view the PDF online.

 

Back to Article Outline

References 

  1. Miller M , Haddad AJ . Cervicofacial actinomycosis . Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 1998;85:496–508
  2. Sharkawy AA . Cervicofacial actinomycosis and mandibular osteomyelitis . Infect Dis Clin North Am . 2007;21:543–556
  3. Carinci F , Polito J , Pastore A . Pharyngeal actinomycosis: a case report . Gerodontology . 2007;24:121–123
  4. Rush JR , Sulte HR , Cohen DM , Makkawy H . Course of infection and case outcome in individuals diagnosed with microbial colonies morphologically consistent with Actinomyces species . J Endod . 2002;28:613–618
  5. Stenhouse D , MacDonald DG , MacFarlane TW . Cervicofacial and intraoral actinomycosis: a 5-year retrospective study . Br J Oral Surg . 1975;13:172–182
  6. Gaffney RJ , Walsh MA . Cervicofacial actinomycosis: an unusual cause of submandibular swelling . J Laryngol Otol . 1993;107:1169–1170
  7. Chiang CW , Chang YL , Lou PJ . Actinomycosis imitating nasopharyngeal carcinoma . Ann Otol Rhinol Laryngol . 2000;109:605–607
  8. Belmont MJ , Behar PM , Wax MK . Atypical presentations of actinomycosis . Head Neck . 1999;21:264–268
  9. Stewart AE , Palma JR , Amsberry JK . Cervicofacial actinomycosis . Otolaryngol Head Neck Surg . 2005;132:957–959
  10. Bennhoff DF . Actinomycosis: diagnostic and therapeutic considerations and a review of 32 cases . Laryngoscope . 1984;94:1198–1217
  11. Harvey JC , Cantrell JR , Fisher AM . Actinomycosis: its recognitions and treatment . Ann Intern Med . 1957;46:868–885
  12. Gilbert DN , Moellering RC , Eliopoulos GM , Sande MA . In: The Sanford Guide to Antimicrobial Therapy 2007 . 37th edition. Sperryville, VA: Antimicrobial Therapy Inc.; 2007;p. 94

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