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Tonsillolithiasis with actinomycotic infection: a case report.
Emel Cadalli Tatar1, Mahmut Karaçay, Güleser Saylam
1Department of Otolaryngology, Dişkapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey. ectatar@gmail.com
Summary
Tonsillar calcifications, or tonsilloliths, can be associated with actinomycotic infections. This case highlights the importance of considering tonsilloliths in the differential diagnosis of chronic tonsillar region pathologies.
Area of Science:
- Otolaryngology
- Pathology
Background:
- Tonsillar calcifications (tonsilloliths) are common findings in ear, nose, and throat examinations.
- Their size varies, and they can mimic other radiopaque lesions in the tonsillar region.
Observation:
- A 42-year-old male presented with recurrent tonsillar infections.
- Examination revealed a large tonsillolith in the right palatine tonsil.
- The patient underwent tonsillectomy, with histopathology confirming the tonsillolith.
Findings:
- Histopathological evaluation unexpectedly revealed an actinomycotic infection coexisting with the tonsillolith.
- The exact pathogenesis of tonsilloliths remains unclear, though recurrent infections are suspected.
Implications:
- This case underscores the necessity of including tonsilloliths in the differential diagnosis for chronic tonsillar pathologies.
- The association with actinomycosis suggests potential complexities in the etiology and management of tonsilloliths.
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