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Cervicofacial actinomycosis in children.

M E Friduss1, D R Maceri

  • 1Department of Otolaryngology, Henry Ford Hospital, Detroit, MI 48202.

Henry Ford Hospital Medical Journal
|January 1, 1990
PubMed
Summary

Actinomycosis, a rare infection caused by anaerobic bacteria, presents diverse symptoms mimicking other diseases. Early diagnosis through biopsy is crucial for effective treatment of these facultative intracellular parasites.

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Area of Science:

  • Microbiology
  • Infectious Diseases

Background:

  • Actinomycotic infections, historically common, are now rare in humans.
  • The causative organisms are taxonomically positioned between bacteria and fungi, exhibiting anaerobic behavior.
  • These organisms are facultative intracellular parasites, evading host cell destruction.

Observation:

  • Actinomycosis presents with varied clinical manifestations, often resembling osteomyelitis, granulomatous disease, or neoplasia.
  • Cervicofacial masses in both children and adults necessitate considering actinomycosis in differential diagnoses.
  • Diagnosis can be challenging due to the organism's anaerobic nature and difficulty in culturing, often requiring biopsy or sinus tract culture.

Findings:

  • A review of five pediatric cases of cervicofacial actinomycosis treated between 1956 and 1986 is presented.
  • One case involved a 12-year-old girl with an expansile mandibular mass due to actinomycosis.
  • The study details the pathophysiology, clinical characteristics, and treatment of cervicofacial actinomycosis.

Implications:

  • Highlights the importance of including actinomycosis in the differential diagnosis of cervicofacial masses.
  • Emphasizes the diagnostic challenges and the need for timely consideration during biopsy or culture.
  • Provides insights into the management of this rare but potentially serious infection.

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