Coexistence of actinomycosis and sialolithiasis in the submandibular gland.
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 4 x 3-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.
Uslu
Celil
C
Department of Otolaryngology, Haydarpaşa Numune Training and Research Hospital, Istanbul, Turkey. celiluslu@hotmail.com.
Oysu
Cağatay
C
Ulkümen
Burak
B
D000190:Actinomyces / Q000302:isolation & purification; D000197:Actinomycosis, Cervicofacial / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D044963:Biopsy, Fine-Needle; D006801:Humans; D008297:Male; D008875:Middle Aged; D010400:Penicillin G / Q000627:therapeutic use; D015494:Salivary Gland Calculi / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery; D013363:Submandibular Gland / Q000000981:diagnostic imaging / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D013364:Submandibular Gland Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D010400:Penicillin G