title: Cervicofacial actinomycosis with paravertebral spread: a case report.
abstract: We report a case of cervicofacial actinomycosis with paravertebral extension in a 60-year-old man who presented with recurrent neck masses. Diagnosis was confirmed on culture and histology of pus and debris obtained from surgical drainage. He improved only after lengthy in-hospital high dose penicillin therapy. He is currently well and is on maintenance doxycycline therapy for 6 months following the high dose penicillin therapy.
authors.affiliation: Department of Medicine, Alexandra Hospital, Singapore.
authors.forename: J
authors.initials: J
authors.lastname: Abisheganaden
authors.forename: K N
authors.initials: KN
authors.lastname: Sin Fai Lam
authors.forename: L S
authors.initials: LS
authors.lastname: Chew
authors.forename: D
authors.initials: D
authors.lastname: Tan
mesh_terms: D000038:Abscess / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D000197:Actinomycosis, Cervicofacial / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002574:Cervical Vertebrae; D003937:Diagnosis, Differential; D004322:Drainage; D006801:Humans; D008297:Male; D008875:Middle Aged; D013122:Spinal Diseases / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents