Actinomycosis presenting as a parotid tumor

Actinomycosis of the parotid gland is a rare chronic infection and can present with a slow-growing mass mimicking a tumor. The authors report five cases of parotid actinomycosis. All patients presented as having enlarging masses at the parotid area for 2-6 months without a history of obvious dental...

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Bibliographic Details
Main Authors: Sittitrai P., Srivanitchapoom C., Pattarasakulchai T., Lekawanavijit S.
Format: Article
Language:English
Published: 2014
Online Access:http://www.scopus.com/inward/record.url?eid=2-s2.0-79955779846&partnerID=40&md5=920c30445db20058cf8fb875e50b950e
http://www.ncbi.nlm.nih.gov/pubmed/21570224
http://cmuir.cmu.ac.th/handle/6653943832/2661
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Institution: Chiang Mai University
Language: English
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Summary:Actinomycosis of the parotid gland is a rare chronic infection and can present with a slow-growing mass mimicking a tumor. The authors report five cases of parotid actinomycosis. All patients presented as having enlarging masses at the parotid area for 2-6 months without a history of obvious dental infection, trauma, or immunocompromised condition. Retrograde bacterial spread from colonization in the oral cavity via Stensen's duct is the possible pathophysiology. The diagnosis was made histopathologically by fine needle aspiration biopsy (FNAB). Treatment consisted of 1.5 months of intravenous penicillin, followed by 4.5 months of oral penicillin, with excellent results. © 2011 Elsevier Ireland Ltd. All rights reserved.