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Regular resident becomes aggressive enemy: Diagnosed on cytology.
Anvitha Lakshminarayan Joshi1, Immanuel Pradeep1, Jitendra Singh Nigam1
1Department of Pathology and Lab Medicine, All India Institute of Medical Sciences, Bibinagar, Telangana, India.
Summary
Actinomycosis, a common oral bacterium, rarely affects bone. This case highlights a cervicofacial infection in an immunocompetent individual, diagnosed via fine needle aspiration cytology.
Area of Science:
- Microbiology
- Oral Medicine
- Infectious Diseases
Background:
- Actinomycosis is an infection caused by oral commensals.
- It typically affects patients with immunosuppression and mucosal injuries.
- Bone involvement is an uncommon presentation.
Observation:
- A 39-year-old immunocompetent male presented with left perimandibular swelling.
- The swelling was soft to firm and tender.
- Initial diagnosis was pursued via fine needle aspiration cytology.
Findings:
- Fine needle aspiration cytology (FNAC) and cell block preparation confirmed Actinomycosis infection.
- The case presented as a soft tissue infection rather than direct bone involvement.
Implications:
- This case expands the understanding of Actinomycosis presentations in immunocompetent individuals.
- Highlights the importance of considering Actinomycosis in cervicofacial infections, even without typical risk factors.
- Emphasizes the diagnostic utility of FNAC and cell block preparation for soft tissue infections.
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