Abstract
Actinomycosis of the submandibular gland is unusual. A 55-year-old male presented with a right, painless submandibular mass of four-year duration. Physical examination revealed a 4x3-cm mass in the submandibular region. Ultrasonography-guided fine needle aspiration from the lesion showed microorganisms compatible with actinomyces colonies in the glandular tissue. The diagnosis was made as actinomycosis of the right submandibular gland accompanied by sialolithiasis. The patient was treated with penicillin G 10 million U/day for three months, followed by 3 g/day oral penicillin for six months. After this medication, physical examination showed no decrease in the size of the mass and the clinical features remained unchanged. Submandibular gland excision under general anesthesia was performed.
References
- Allen HA 3rd, Scatarige JC, Kim MH. Actinomycosis: CT findings in six patients. AJR Am J Roentgenol 1987;149:1255-8.
- Guiral H, Risco J, Mayayo E. Submaxillary sialo- lithiasis due to Actinomyces israeli. A case report. An Otorrinolaringol Ibero Am 1998;25:247-53. [Abstract]
- Oysu C, Uslu C, Guclu O, Oysu A. Actinomycotic abscess of the thyroid gland in an infant. Int J Pediatr Otorhinolaryngol 2005;69:701-3.
- Cevera JJ, Butehorn HF 3rd, Shapiro J, Setzen G. Actinomycosis abscess of the thyroid gland. Laryngoscope 2003;113:2108-11.
- Gaffney RJ, Walsh MA. Cervicofacial actinomyco- sis: an unusual cause of submandibular swelling. J Laryngol Otol 1993;107:1169-70.
Abstract
Submandibuler bez aktinomikozu nadir bir durum- dur. Elli beş yaşında erkek hasta sağ tarafta dört yıl- dır var olan ağrısız submandibuler kitle ile başvurdu. Fiziksel muayene sonucunda submandibuler bölge- de 4x3 cm boyutlarında kitle saptandı. Ultrasonografi kılavuzluğunda yapılan ince iğne aspirasyonu ince- lemesinde, glandüler dokuda aktinomikoz kolonile- riyle uyumlu mikroorganizmalar görüldü. Sağ sub- mandibuler bezde taş ile birlikte aktinomikoz tanısı kondu. Hastaya üç ay boyunca penisilin G günde 10 milyon U tedavisi, ardından altı ay süren günde 3 g oral penisilin tedavisi uygulandı. Tedaviden sonra fiziksel muayenede kitlenin boyutunun azalmadığı gözlendi. Klinik özelliklerde değişme olmadığından genel anestezi altında submandibuler bez eksizyonu uygulandı
References
- Allen HA 3rd, Scatarige JC, Kim MH. Actinomycosis: CT findings in six patients. AJR Am J Roentgenol 1987;149:1255-8.
- Guiral H, Risco J, Mayayo E. Submaxillary sialo- lithiasis due to Actinomyces israeli. A case report. An Otorrinolaringol Ibero Am 1998;25:247-53. [Abstract]
- Oysu C, Uslu C, Guclu O, Oysu A. Actinomycotic abscess of the thyroid gland in an infant. Int J Pediatr Otorhinolaryngol 2005;69:701-3.
- Cevera JJ, Butehorn HF 3rd, Shapiro J, Setzen G. Actinomycosis abscess of the thyroid gland. Laryngoscope 2003;113:2108-11.
- Gaffney RJ, Walsh MA. Cervicofacial actinomyco- sis: an unusual cause of submandibular swelling. J Laryngol Otol 1993;107:1169-70.
Details
| Primary Language | English |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | August 30, 2008 |
| Published in Issue | Year 2008 Volume: 18 Issue: 4 |