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Int J Pediatr Otorhinolaryngol. 2019 Jan;116:204-208. doi: 10.1016/j.ijporl.2018.11.001. Epub 2018 Nov 3.

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

Author information

1
Section of Otolaryngology, Head and Neck Surgery, Yale School of Medicine, New Haven, CT, USA. Electronic address: Emily.savoca@yale.edu.
2
Section of Otolaryngology, Head and Neck Surgery, Yale School of Medicine, New Haven, CT, USA.

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.

PMID:
30554700
DOI:
10.1016/j.ijporl.2018.11.001
[Indexed for MEDLINE]

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