A case of pediatric cervicofacial actinomyces masquerading as malignancy: Case report and review of the literature.

Abstract:

:Cervicofacial actinomyces is an uncommon infection, especially in children. Notoriously low culture sensitivity and malignant appearance make diagnosis challenging. Treatment requires a prolonged antibiotic course often in conjunction with surgical debridement or drainage. We report an amorphous anterior neck mass in a 10-year-old girl due to actinomyces. Diagnosis required open biopsy after non-diagnostic fine needle aspirate and core needle biopsies. The patient responded well to six-week course of parenteral penicillin followed by six months of convalescent therapy with oral penicillin. In addition to a case discussion, we review cervicofacial actinomyces in the literature with a focus on pediatrics.

authors

Savoca E,Mehra S,Waldman EH

doi

10.1016/j.ijporl.2018.11.001

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

204-208

eissn

0165-5876

issn

1872-8464

pii

S0165-5876(18)30563-9

journal_volume

116

pub_type

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