title: A case of actinomycosis causing unilateral tonsillar hypertrophy.
abstract: We report a case of unusual presentation of actinomycosis in the tonsil causing massive unilateral enlargement in a 78-year-old female. To our knowledge, only three cases of actinomycosis causing unilateral tonsillar enlargement have been published previously. Since this anaerobic organism is difficult to culture, the diagnosis is made by observing its associated sulfur granules in the biopsy specimen. In the present case, treatment consisting of tonsillectomy and antibiotic therapy (penicillin) for several days produced a good prognosis.
authors.affiliation: Division of Otorhinolaryngology, Department of Translational Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan. ktakasa@net.nagasaki-u.ac.jp
authors.forename: Kenji
authors.initials: K
authors.lastname: Takasaki
authors.forename: Kyoko
authors.initials: K
authors.lastname: Kitaoka
authors.forename: Satoru
authors.initials: S
authors.lastname: Kaieda
authors.forename: Tomayoshi
authors.initials: T
authors.lastname: Hayashi
authors.forename: Kuniko
authors.initials: K
authors.lastname: Abe
authors.forename: Haruo
authors.initials: H
authors.lastname: Takahashi
mesh_terms: D000196:Actinomycosis / Q000175:diagnosis* / Q000628:therapy; D000368:Aged; D005260:Female; D006801:Humans; D006984:Hypertrophy / Q000382:microbiology; D014066:Palatine Tonsil / Q000382:microbiology* / Q000473:pathology* / Q000601:surgery; D010406:Penicillins / Q000627:therapeutic use; D014068:Tonsillectomy
chemical_list: D010406:Penicillins