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Actinomycosis: a potential complication of head and neck surgery
1University of Missouri Health Sciences Center, Columbia.
Abstract:
Actinomycosis is a granulomatous infection occasionally found in the head and neck region that potentially may complicate a major head and neck oncologic surgical procedure. A case presentation, a review of the pertinent literature, and the treatment of this infectious complication are the primary elements of this report. A chronic infection of the neck caused by Actinomyces ssp developed postoperatively in a patient treated for head and neck cancer. Despite relapse after an initial course of long-term antibiotic therapy, the infection was successfully eradicated. Actinomycosis after surgery for head and neck cancer is unusual. However, the etiologic agent, Actinomyces ssp, is a common, potential microbial contaminant of head and neck surgery characterized by oral cavity or pharyngeal entry. Recognition of the typical manifestation of this infection in the neck facilitates prompt, appropriate treatment.
Insights
Actinomycosis, a rare head and neck infection, can complicate cancer surgery. This case highlights successful eradication of this Actinomyces infection post-surgery with prolonged antibiotics.
Area of Science:
- Infectious Diseases
- Surgical Oncology
Background:
- Actinomycosis is a granulomatous infection that can occur in the head and neck.
- It may complicate major head and neck oncologic surgical procedures.
Observation:
- A patient treated for head and neck cancer developed a chronic postoperative neck infection caused by Actinomyces ssp.
- The infection relapsed after an initial course of long-term antibiotic therapy.
Findings:
- Actinomycosis is an unusual complication after head and neck cancer surgery.
- Actinomyces ssp., a common microbial contaminant, enters via the oral cavity or pharynx.
Implications:
- Prompt recognition of neck actinomycosis manifestations is crucial for timely treatment.
- Successful eradication is possible with appropriate, prolonged antibiotic regimens.