title: An unusual case of severe cervicofacial actinomycosis masquerading as pseudosarcomatous tumour of soft tissues of the head.
abstract: An unusual case of severe facial and scalp actinomycosis is described. A Papuan man presented with an ulcerative tumour that was progressively spreading on the left face and scalp. Biopsy reported pseudotumour on two occasions and just granulation tissue once. Non-operative treatment was frustrating until a discharge of sulphur granules led to the diagnosis of actinomycosis. The final diagnosis was made histologically after a careful search. This report highlights the usual and unusual points in the diagnosis and management of a case of actinomycosis.
authors.forename: G
authors.initials: G
authors.lastname: Gende
authors.forename: D J
authors.initials: DJ
authors.lastname: Hasola
authors.forename: B
authors.initials: B
authors.lastname: Dagam
authors.forename: L
authors.initials: L
authors.lastname: Lun
authors.forename: J
authors.initials: J
authors.lastname: Morewaya
mesh_terms: D000197:Actinomycosis, Cervicofacial / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005153:Facial Neoplasms / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010219:Papua New Guinea; D012509:Sarcoma / Q000175:diagnosis*