Actinomycosis in neck glands

A middle aged woman presented with right submandibular swelling, fever off and on and anemia. Excisional biopsy of the gland showed Actinomycosis. It is a rare disease in the neck. Patient was treated with high doses of parenteral pencillins followed by three months course of oral Doxycyclines. The patient was followed up to six months and she was symptom free. In this case report the disease is elaborated and literature is reviewed.