Srpski arhiv za celokupno lekarstvo 2014 Volume 142, Issue 7-8, Pages: 472-475
https://doi.org/10.2298/SARH1408472V
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Actinomycosis of the cheek
Vidaković Bruno (General Hospital “Dr. Josip Benčević”, Department of Otorhinolaryngology and Head and Neck Surgery, Slavonski Brod, Croatia)
Macan Darko (University of Zagreb, University Hospital Dubrava, School of Dental Medicine, Department of Oral and Maxillofacial Surgery, Zagreb, Croatia)
Perić Berislav (University of Zagreb, University Hospital Dubrava, School of Dental Medicine, Department of Oral and Maxillofacial Surgery, Zagreb, Croatia)
Manojlović Spomenka (University Hospital Dubrava, Department for Clinical and Experimental Pathology, Zagreb, Croatia)
Introduction. Actinomycosis is an uncommon chronic granulomatous infection
first described by Bollinger in 1877. The infection is caused by actinomyces
species and it is characterized by slow contiguous spread and suppurative
inflammation, formation of multiple abscesses and sinus tracts with possible
drainage of “sulfur granules”. Case Outline. We report an unusual case of
actinomycosis of the cheek that occurred 6 years after buccal odontogenic
abscess. A 56-year-old male was referred to the Department of Oral Surgery
because of a painless swelling of the left cheek, which initiated three weeks
prior to the referral. The diagnosis of actinomycosis was confirmed by
histopathologic examination. In accordance with the diagnosis oral penicillin
was prescribed for four months with complete resolution. Conclusion. This
case of actinomycosis is presented as a rarity. For proper diagnosis, careful
examination and a high degree of clinical suspicion are necessary.
Keywords: actinomycosis, buccal, granulomatous infection