A case of pediatric cervicofacial actinomyces masquerading as malignancy: Case report and review of the literature
| Autor: | Erik Waldman, Saral Mehra, Emily L. Savoca |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Core needle
medicine.medical_specialty Open biopsy medicine.drug_class Antibiotics Penicillins Malignancy Actinomycosis Diagnosis Differential 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Neoplasms medicine Actinomyces Humans 030223 otorhinolaryngology Child Anterior neck biology business.industry General Medicine biology.organism_classification medicine.disease Magnetic Resonance Imaging Surgery Anti-Bacterial Agents Penicillin Otorhinolaryngology Pediatrics Perinatology and Child Health Female business Tomography X-Ray Computed Fine-needle aspirate Neck medicine.drug |
| Zdroj: | International journal of pediatric otorhinolaryngology. 116 |
| ISSN: | 1872-8464 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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