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Actinomycosis in neck glands.
1ENT A Unit, Khyber teaching Hospital, Peshawar. drark@hotmail.com
Journal of Ayub Medical College, Abbottabad : JAMC
|October 1, 2004
Summary
Actinomycosis, a rare neck infection, presented as submandibular swelling, fever, and anemia in a middle-aged woman. Treatment with high-dose penicillin and doxycycline led to a full recovery and symptom resolution within six months.
Area of Science:
- Infectious Diseases
- Microbiology
- Head and Neck Surgery
Background:
- Actinomycosis is a rare bacterial infection caused by Actinomyces species.
- Cervicofacial actinomycosis, particularly in the submandibular region, is uncommon.
Observation:
- A middle-aged woman presented with right submandibular swelling, intermittent fever, and anemia.
- Excisional biopsy confirmed Actinomycosis of the submandibular gland.
Findings:
- The patient received high-dose parenteral penicillin followed by a three-month course of oral doxycycline.
- The treatment regimen resulted in complete symptom resolution.
Implications:
- This case highlights the importance of considering Actinomycosis in the differential diagnosis of submandibular masses.
- Prompt and appropriate antibiotic therapy is crucial for successful management of cervicofacial Actinomycosis.
- Further literature review is warranted to understand the epidemiology and optimal treatment strategies for this rare condition.