Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles
 

Open Access

Case Report

RMJ. 2015; 40(1): 125-127


Neck actinomycosis mesquerading as laryngeal carcinoma recurrence in an Omani male

Muhammad Furrukh, Taha Mufti, Aisha Hamdani.

Abstract
Actinomycosis is a gram positive bacterium that grows in anoxic conditions. It usually involves cattle, yet remains human commensals, usually found in oral cavity as well as the GI tract. Under favourable conditions it may be responsible for human opportunistic infections that mimicks a tumor of the involved site/s and drains pus via skin sinuses resembling sulphur granules. Favourite harbouring sites includes cervico-facial area, lungs, colon and the central nervous system. We present a case of advanced supraglottic laryngeal squamous cell carcinoma which was found un-resectable initially, and was subsequently treated with radical chemo-radiotherapy. Intense radiation induced fibrosis and consequent ischemia provided perfect growth medium for actinomycosis that formed an inflammatory mass mimicking recurrence of the tumor and resulted in neck sinus. The infection responded very well to oral amoxicillin, while patient remains carcinoma free for over 5 years.

Key words: Actinomycosis, cervicofacial laryngeal neoplasms, radiotherapy.



Share this Article


Advertisement
Progress in Orthopedic Science

SUBMIT YOUR ARTICLE NOW


ScopeMed.com
ScopeMed Home
Follow ScopeMed on Twitter
BiblioCAM
Author Tools
eJPort Journal Hosting
About ScopeMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Scopemed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright ScopeMed Information Services.
Scopemed Buttons