Tonsillektomi Materyallerinde Aktinomiçes

Yıl 2020, Cilt: 4 Sayı: 3, 260 - 263, 29.10.2020

Özlem Ceren Günizi , Hüseyin Günizi

https://doi.org/10.30565/medalanya.791230

Cited By: 1

Öz

Amaç: Tonsillektomi çocuk yaş grubunda en sık yapılan ameliyatlardan birisidir. Actinomiçes türleri Gram-pozitif, spor oluşturmayan fakültatif anaerobik bakterilerdir. Aktinomikoz, subakuttan kronik enfeksiyona kadar apse oluşumu ile karakterize bir hastalıktır.

Gereç ve Yöntemler: Ocak 2016 - Ocak 2019 tarihleri arasında Alanya Alaaddin Keykubat Üniversitesi Eğitim ve Araştırma Hastanesinde tonsillektomi uygulanan 185 hastanın tonsillektomi materyalleri ile çalıştık.

Bulgular: Tonsillektomi yapılan 98 (% 53) erkek ve 87 (% 47) kadın 185 hasta çalışmaya dahil edildi. Ortalama yaş 12.6 (dağılım 3-56) idi. Toplam 64 hastada Actinomiçes varlığı gösterildi.

Sonuç: Actinomyces türleri bademcik dokusu florasında fırsatçı enfeksiyona neden olan bakterilerdir. Tonsiller Aktinomikoz kolonizasyonu yetişkinlerde ve büyük çocuklarda daha yaygındır.

Anahtar Kelimeler

Tonsillektomi;, Histopatoloji;, Aktinomiçes

Actinomyces in Tonsillectomy Materials

Öz

Aim: Tonsillectomy is one of the most common surgeries in the pediatric age group. Actinomyces species are Gram-positive, non-spore-forming facultative anaerobic bacteria. Actinomycosis is a disease characterized by abscess formation, ranging from subacute to chronic infection.

Materials and methods: We studied with the tonsillectomy materials of 185 patients who underwent tonsillectomy in our clinic between January 2016 and January 2019.

Results: A total of 185 patients, 98 (53%) males and 87 (47%) females, who underwent tonsillectomy were included in the study. The mean age was 12.6 (range, 3-56) years. A total of 64 patients showed the presence of Actinomyces.

Conclusion: Actinomyces species are bacteria found in the tonsil tissue flora that cause opportunistic infection. Tonsillar Actinomyces colonization is more common in adults and in older children.

Anahtar Kelimeler

Tonsillectomy;, Histopathology;, Actinomyces

Kaynakça

• 1. Baugh RF, Archer SM, Mitchell RB et al. Clinical practice guideline: Tonsillectomy in children. Otolaryngol Head Neck Surg 2011; 144: 1-30. PMID: 21493257 DOI: 10.1177/0194599810389949
• 2. Smith MM, Peterson E, Yaremchuk KL. The role of tonsillectomy in adults with tonsillar hypertrophy and obstructive sleep apnea. Otolaryngol Head Neck Surg 2017; 157: 331-5 PMID: 28349770 DOI: 10.1177/0194599817698671
• 3. Hasan M, Kumar A. Actinomycosis and tonsillar disease. BMC Case Rep 2011. PMID: 22696708 DOI: 10.1136/bcr.01.2011.3750
• 4. Gaffney R, Harrison M, Walsh M, Sweeney E, Cafferkey M. The incidence and role of actinomyces in recurrent acute tonsillitis. Clin Otolaryngol Allied Sci 1993 ;18:268 – 71. PMID: 8877183 DOI: 10.1111/j.1365-2273.1993.tb00845.x
• 5. Ozgursoy OB, Kemal O, Saatci MR, Tulunay O. Actinomycosis in the etiology of recurrent tonsillitis and obstructive tonsillar hypertrophy: answer from a histopathologic point of view. J Otolaryngol Head Neck Surg 2008; 37: 865-9. PMID: 19128718
• 6. Van Lierop AC, Prescott CA, Sinclair-Smith CC. An investigation of the significance of actinomycosis in tonsil disease. Int J Pediatr Otorhinolaryngol 2007; 71: 1883-8. PMID: 17919741 DOI: 10.1016/j.ijporl.2007.08.021
• 7. Belmont M J, Behar P M, Wax M K. Atypical Presentation of Actinomycosis. Head Neck 1999;21:264-8. PMID: 10208670 DOI: 10.1002/(sici)1097-0347(199905)21:3<264::aid-hed12>3.0.co;2-y
• 8. Mohanty S. Actinomycosis of faucial tonsil masquerading as oropharyngeal malignancy. Indian J Otolaryngol Head Neck Surg 2006;58:82 – 4. doi: 10.1007/BF02907750 PMCID: PMC3450608 PMID: 23120246
• 9. Yadav SP, Chanda R, Gathwala G, Yadav RK. Actinomycosis of tonsil masquerading as tumour in a 12-year old child. Int J Pediatr Otorhinolaryngol 2002;63:73–5. PMID: 11879933 DOI: 10.1016/s0165-5876(01)00647-4
• 10. Acevedo F, Baudrand R, Letelier LM, Gaete P. Actinomycosis: a great pretender. Case reports of unusual presentations and a review of the literature. Int J Infect Dis 2008; 12: 358-62 PMID: 18164641 DOI: 10.1016/j.ijid.2007.10.006
• 11. Choi MM, Baek JH, Lee JN, Park S, Lee WS. Clinical features of abdominopelvic actinomycosis: report of twenty cases and literature review. Yonsei Med J 2009; 50: 555-9. PMID: 19718405 PMCID: PMC2730619 DOI: 10.3349/ymj.2009.50.4.555
• 12. Garner JP, Macdonald M, Kumar PK. Abdominal actinomycosis. Int J Surg 2007; 5: 441-8. PMID: 18078685 DOI: 10.1016/j.ijsu.2006.06.009
• 13. Riffat F, Walker P. Prevalence of tonsillar actinomyces in children undergoing tonsillectomy for sleep disordered breathing compared with recurrent tonsillitis. Int J Pediatr Otorhinolaryngol 2009; 73: 1111-3. PMID: 19447506 DOI: 10.1016/j.ijporl.2009.04.015
• 14. Toh ST, Yuen HW, Goh YH. Actinomycetes colonization of tonsils: a comparative study between patients with and without recurrent tonsillitis. J laryngol Otol 2007; 121: 775-8. PMID: 17040606 DOI: 10.1017/S0022215106003185
• 15. Aydin A, Erkiliç S, Beyazit YA, Koçer NE, Ozer E, Kanlikama M. Relation between actinomycosis and histopathological and clinical features of the palatine tonsils: a comparative study between adults and pediatric patients. Rev Laryngol Otol Rhinol (Bord) 2005; 126: 95-8. PMID: 16180348
• 16. Melgarejo Moreno P, Hellin Meseguer, Marco Garrido A, Galindo Ortego X, Ruiz Macia JA, Hostalet F. A correlation between age and actinomyces in the adenotonsillar tissue of children. B-ENT2006; 2:95-7. PMID: 16910294
• 17. San T, Gürkan E, Erdoğan B, Özkanlı Ş. Does actinomyces have any role in tonsiller diseases in children? İstanbul Med J 2014;15:209-12 DOI: 10.5152/imj.2014.93798
• 18. Bhargava D, Bhusnurmath B, Sundaram KR et al. Tonsillar actinomycosis: a clinicopathological study. Acta Trop 2001; 80: 163-8.. https://doi.org/10.1016/S0001-706X(01)00172-3
• 19. Pransky SM, Feldman JI, Kearns DB, Seid AB, Billman GF.Actinomycosis in obstructive tonsillar hypertrophy and recurrent tonsillitis. Arch Otolaryngol Head Neck Surg 1991; 117: 883-5 PMID: 1892620 DOI: 10.1001/archotol.1991.01870200077012