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Cervicofacial Actinomycosis

Actinomycoses Cervicofacial


Presentation

  • Two cases of cervicofacial actinomycosis, resulting in submandibular swelling, are presented. How actinomycosis may present under the guise of malignancy is well demonstrated.[ncbi.nlm.nih.gov]
Sulfur Granules
  • Actinomycosis, a chronic suppurative bacterial infection characterized by draining sinuses that discharge "sulfur granules," can mimic numerous other infectious and noninfectious conditions.[ncbi.nlm.nih.gov]
  • On surgical pathology, actinomycosis is characterized by sulfur granules (Figure 1). These are composed of bacteria cemented together by a polysaccharide-protein complex and calcium phosphate. Grossly, these sulfur granules appear yellow.[path.upmc.edu]
  • granules is seen in approximately 40% of cases. [2] Our patient had palpable mass with regional lymphadenopathy but no sinus tracts or sulfur granules.[e-ijd.org]
Fever
  • Pelvic actinomycosis affects the women's pelvic area and may cause lower abdominal pain, fever, and bleeding between menstrual periods.[healthcentral.com]
  • Thoracic cases can cause cough, low-grade fever, and cavitary-like lesions which radiographically mimic tuberculosis, and are thought to be associated with aspiration of the organism from the oropharynx (8).[path.upmc.edu]
  • About half of the patients present with a low-grade fever ( 1 ).[ajnr.org]
  • The abscess may drain and this can be accompanied by pain and fever Analysis of pus under the microscope to check for “sulfur granules”, culture of organisms from pus or tissue sample, and imaging of abscesses may all be employed towards establishing[dovemed.com]
  • The individual may have: abscesses persistent fever pain diarrhea or constipation pus that appears through the skin The type of infection can spread.[medicalnewstoday.com]
Soft Tissue Mass
  • CONCLUSION: Although cervicofacial actinomycosis occurs infrequently, it should be included in the differential diagnosis when images show a soft-tissue mass with inflammatory changes and an infiltrative nature in the cervicofacial area.[ncbi.nlm.nih.gov]
  • All cases presented with soft-tissue masses without substantial necrosis; no cystic lesions were found on imaging studies. Nonenhanced CT scans showed soft-tissue masses with isoattenuation relative to muscle in two cases.[ajnr.org]
Turkish
  • History Meanings of "cervicofacial actinomycosis" in Turkish English Dictionary : 2 result(s) Category English Turkish Medical 1 Medical cervicofacial actinomycosis çene uru Pathology 2 Pathology cervicofacial actinomycosis servikofasiyal aktinomikoz[tureng.com]
  • Infeksiyon Dergisi Turkish Journal of Infection 18(4): 533-537, 2004 Cervicofacial actinomycosis Diagnosis by fine needle aspiration cytology.[eurekamag.com]
Malaise
  • Symptoms may include pelvic pain, leukorrhea, menorrhagia, and amenorrhea, associated with fever, malaise, weakness, and weight loss, in any combination.[antimicrobe.org]
Trismus
  • Actinomycosis around the jaw can cause trismus (prolonged spasm of the jaw muscles). Lymph nodes are not usually enlarged and there is generally little pain, unless adjacent structures are compressed.[dermnetnz.org]
  • Tenderness, trismus and expansive hardness of the surrounding tissues were noted. There were no palpable lymph nodes.[bmcinfectdis.biomedcentral.com]
  • [6] and tender or non-tender woody hard multiple nodular lesions, usually situated at the angle of the jaw, multiple abscesses and sinuses that open onto the cheek, sulfur granules in the exudates, typical absence of lymphadenopathy, with or without trismus[jiaomr.in]
  • Trismus may be prominent early in the patient's course; however, cervical lymphadenopathy is uncommon. Direct extension may involve the tongue, sinuses, and meninges and rarely, contribute to periostitis or osteomyelitis of the mandible ( 74 ).[antimicrobe.org]
Angiokeratoma
  • […] and neck, differentials in this region include plunging ranula, hemangioma, branchial cleft cyst, thyroglossal duct cyst, varix, lipoma, schwannoma, parotid cyst, malignant tumors or metastases, herpes simplex, angioma serpiginosum, lymphangiectasia, angiokeratoma[e-ijd.org]
Insect Bite
  • It started as a single red raised lesion resembling an insect bite which gradually increased in size and firmness.[e-ijd.org]
Neck Mass
  • We report a case of cervicofacial actinomycosis with paravertebral extension in a 60-year-old man who presented with recurrent neck masses. Diagnosis was confirmed on culture and histology of pus and debris obtained from surgical drainage.[ncbi.nlm.nih.gov]
  • Pediatric Cervicofacial Actinomycosis: An Unusual Cause of Head and Neck Masses. J Pediatric Infect Dis Soc . 2014 Jun. 3 (2):e15-9. [Medline] . Kutluhan A, Salviz M, Yalçiner G, Kandemir O, Yesil C.[emedicine.medscape.com]
Head and Neck Swelling
  • Clinicians dealing with acute head and neck swellings should always consider actinomycosis as a possible diagnosis.[ncbi.nlm.nih.gov]
Neck Swelling
  • Clinicians dealing with acute head and neck swellings should always consider actinomycosis as a possible diagnosis.[ncbi.nlm.nih.gov]

Workup

  • If workups for tuberculosis and fungal infections are negative, a high degree of suspicion is needed to diagnose actinomycosis correctly. Actinomycosis frequently imitates a neoplastic process when faced with an ill-defined and fixed mass.[woundsresearch.com]
  • […] bacilli AM: Actinomycosis HIV: Human immunodeficiency virus Declarations Acknowledgements We are grateful to the laboratory and clinical staff of the Banso Baptist Hospital and Bamenda Regional Hospital for their incessant collaboration in the laboratory workup[bmcinfectdis.biomedcentral.com]
Mycobacterium Fortuitum
  • Fortschritte der Kiefer- und Gesichts-Chirurgie 21: 87-89, 1976 On The Differential Diagnosis Of Actinomycosis: Mycobacterium Fortuitum As A Possible Pathogen In Cervicofacial Infections.[eurekamag.com]
Bartonella Quintana
  • In a uniquely visual two-color design, Lippincott's Guide to Infectious Diseases gives a quick overview of 160 infectious diseases from the common cold and otitis media to MRSA and other newer threats including Bartonella quintana.[books.google.com]

Treatment

  • Therefore proper guidelines for treatment and treatment duration are difficult to establish. The aim of this study is to establish effective treatment and treatment duration for orocervicofacial actinomycosis.[ncbi.nlm.nih.gov]

Prognosis

  • The prognosis for treated infection is excellent.[ncbi.nlm.nih.gov]
  • The book starts by describing the etiology, microscopical appearance, production of odor, epidemiology and pathogenesis, direction of peripheral spreading, differential and clinical diagnosis, prognosis, and treatment of antinomycosis.[books.google.com]
  • What is the Prognosis of Cervicofacial Actinomycosis? (Outcomes/Resolutions) The prognosis of Cervicofacial Actinomycosis is determined by the overall health of the affected individual.[dovemed.com]
  • The prognosis for treated infection is excellent. (PDF emailed within 0-6 h: 19.90) Accession: 004066693 Download citation: RIS BibTeX Text PMID: 15847718 DOI: 10.1007/s11908-005-0030-0 Diagnosis of cervicofacial actinomycosis.[eurekamag.com]
  • M. ( 1975 ) A study of 57 cases of actinomycosis over a 36-year period: a diagnostic 'failure' with good prognosis after treatment .[cambridge.org]

Etiology

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • The book starts by describing the etiology, microscopical appearance, production of odor, epidemiology and pathogenesis, direction of peripheral spreading, differential and clinical diagnosis, prognosis, and treatment of antinomycosis.[books.google.com]
  • Relevant procedures necessary for reliably diagnosing actinomycosis are discussed, with details of their complex etiology. PubMed CrossRef Google Scholar 5.[link.springer.com]
  • The etiology of this gender disparity is not known, but it is hypothesized to be due to differences in dental hygiene habits between male and females, as well as due to increased incidence of oral trauma in male as compared to female patients.[path.upmc.edu]
  • (Etiology) Cervicofacial Actinomycosis is caused by anaerobic bacteria, belonging to the family actinomycetaceae. These bacteria are gram-positive and can survive in very low concentrations of oxygen.[dovemed.com]

Epidemiology

  • The book starts by describing the etiology, microscopical appearance, production of odor, epidemiology and pathogenesis, direction of peripheral spreading, differential and clinical diagnosis, prognosis, and treatment of antinomycosis.[books.google.com]
  • Cervico-facial actinomycosis: epidemiological and clinical comments. Am J Infect Dis 2008;3:204-8. 3. Anees A, Yaseen M, Sherwani R, Khan MA. Extensive lymphangioma circumscriptum - A case report. J Indian Acad Clin Med 2006;7:55-7. 4.[e-ijd.org]
  • Patient Population: Prevalence and Epidemiology Knee // Shoulder & Elbow // Hip // Spine // Foot & Ankle // Hand & Wrist Fragility Fractures: Diagnosis and Treatment Shoulder & Elbow The Characteristics of Surgeons Performing Total Shoulder Arthroplasty[mdedge.com]
  • There is little characteristic epidemiology for actinomycosis in general. Pelvic disease is much more likely when an intrauterine device (IUD) is in place.[infectiousdiseaseadvisor.com]
  • We review the literature on its epidemiology, clinical presentation, diagnosis, treatment and prognosis. Conclusion Actinomycosis still poses a diagnostic challenge.[bmcinfectdis.biomedcentral.com]
Sex distribution
Age distribution

Pathophysiology

  • The authors highlight the possible pathophysiology of this condition. It is suggested that clinicians be aware of the various modes of presentation and natural history of the disease to facilitate prompt diagnosis and appropriate treatment.[ncbi.nlm.nih.gov]
  • Grasp the nuances of the pathophysiology of today’s major respiratory conditions—including pulmonary hypertension, COPD, asthma, environmental lung disease, sleep disorders, infections of the immunocompromised, neonatal breathing disorders, and drug-resistant[books.google.com]
  • Pathophysiology Actinomyces species that cause human disease are not found in nature but are normal flora of the oropharynx, GI tract, and female genital tract.[emedicine.medscape.com]

Prevention

  • The following tips may be helpful in the prevention of Cervicofacial Actinomycosis: Practicing proper dental hygiene: Maintaining proper dental hygiene always, and particularly, following a dental procedure, surgery, or tooth extraction Educating oneself[dovemed.com]
  • Prevention The best prevention is to maintain good dental hygiene. Resources PERIODICALS Sudhaker, Selvin S., and John J. Rose. "Short-term Treatment of Actinomycosis: two Cases and a Review." Clinical Infectious Diseases (February 1, 2004): 444-448.[encyclopedia.com]
  • Preventing actinomycosis Most cases of oral actinomycosis occur as a result of poor dental hygiene. This means practising good dental hygiene is the best way to prevent actinomycosis.[your.md]
  • One of the best ways to prevent actinomycosis is to practice good oral hygiene. Schedule regular visits with your dentist so that they can spot potential problems.[healthline.com]
  • Because it often develops as a secondary infection, actinomycosis can be difficult to prevent.[wikihow.com]

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