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Cervicofacial actinomycosis presenting as acute upper respiratory tract

Published online by Cambridge University Press:  29 June 2007

Dimitris G. Balatsouras*
Affiliation:
Departments of Otolaryngology and Head and Neck Surgery, Tzanion General Hospital, Piraeus
Antonios K. Kaberos
Affiliation:
Departments of Otolaryngology and Head and Neck Surgery, Tzanion General Hospital, Piraeus
Panayotis N. Eliopoulos
Affiliation:
Departments of Otolaryngology and Head and Neck Surgery, Tzanion General Hospital, Piraeus
Dimitris Kandiloros
Affiliation:
Departments of Otolaryngology and Head and Neck Surgery, Ippokration Hospital, Athens, Greece.
Costas N. Economou
Affiliation:
Departments of Otolaryngology and Head and Neck Surgery, Tzanion General Hospital, Piraeus
*
Dimitris G. Balatsouras, 23 Achaion, Agia Paraskevi 15343, Athens, Greece.

Abstract

An unusual case of cervicofacial actinomycosis presenting as acute upper airway obstruction and demanding urgent tracheostomy is reported. Diagnosis was established by microscopic examination of the pus and culture of Actinomyces israelii. Repeated surgical drainage of the purulent foci and prolonged treatment with penicillin obtained resolution of the disease. Clinicians dealing with acute head and neck swellings should always consider actinomycosis as a possible diagnosis.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1994

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