[Laryngeal and pharyngeal actinomycosis].
Cervicofacial actinomycosis is an uncommon infection and in most cases odontogenic in origin. Pharyngeal and/or laryngeal lesions, usually occurring secondary to mucosal trauma, are very rare and may mimic a malignant tumor. In such cases, which represent less than 1% of all cases, the differential diagnosis with upper aerodigestive tract malignancy remains challenging. We report a case of actinomycosis in a 56-year-old male patient who presented with an extensive, centrally necrotic mass in the oropharynx, hypopharynx and larynx region suspected to be a tumor. The lesion was diagnosed 6 months following accidental ingestion of an ear of corn and ultimately proved to be cervicofacial actinomycosis. The clinical and pathological features and current aspects of the diagnosis and treatment of cervicofacial actinomycosis are discussed.
Schumann
R
R
Klinik für HNO-Heilkunde/Kopf- und Halschirurgie, Bundeswehrkrankenhaus Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland.
Lorenz
K J
KJ
Tisch
M
M
Maier
H
H
D000038:Abscess / Q000175:diagnosis* / Q000473:pathology; D000197:Actinomycosis, Cervicofacial / Q000175:diagnosis* / Q000473:pathology; D001706:Biopsy; D003937:Diagnosis, Differential; D005548:Foreign-Body Migration / Q000150:complications*; D005931:Glottis / Q000293:injuries* / Q000473:pathology; D006801:Humans; D007818:Laryngeal Diseases / Q000175:diagnosis* / Q000473:pathology; D007830:Larynx / Q000293:injuries* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D010608:Pharyngeal Diseases / Q000175:diagnosis* / Q000473:pathology; D010614:Pharynx / Q000293:injuries* / Q000473:pathology; D014057:Tomography, X-Ray Computed