Infect Chemother.  2009 Dec;41(6):355-358. 10.3947/ic.2009.41.6.355.

A Case of Esophagogastroduodenoscopy Associated Actinomycosis Presenting as Ulcers of Hard Palate

Affiliations
  • 1Department of Internal Medicine, Hallym University Medical College, Seoul, Korea. helppl@hallym.ac.kr

Abstract

Actinomyces is a normal flora of the oral cavity but lesions localized to the oral mucosa are very rare. We herein present a rare case of actinomycosis presenting as ulcers of hard palate which developed after esophagogastroduodenoscopy.

Keyword

Actinomycosis; Oral ulcer; Hard palate

MeSH Terms

Actinomyces
Actinomycosis
Endoscopy, Digestive System
Mouth
Mouth Mucosa
Oral Ulcer
Palate, Hard
Ulcer

Figure

  • Figure 1 There are two ulcerations with peripheral swelling in hard palate on laryngoscopic examination.

  • Figure 2 Actinomycetes proliferation is shown in A. The sulfur granule is shown in B (arrow) (Hematoxyllin-eosin stain. ×400).

  • Figure 3 Facial computed tomography scan showing the contrast enhancing ulcerative lesion with swelling in hard palate (arrows).


Cited by  1 articles

A Case of Tongue Actinomycosis
Sun-Man Park, Cheol-Hong Kim, Young-Jin Kim, Jae-Hyun Kim, Heungjeong Woo, In-Gyu Hyun, Jung-Weon Shim, Jae-Jung Lee
Infect Chemother. 2011;43(1):72-75.    doi: 10.3947/ic.2011.43.1.72.


Reference

1. Lancella A, Abbate G, Foscolo AM, Dosdegani R. Two unusual presentations of cervicofacial actinomycosis and review of the literature. Acta Otorhinolaryngol Ital. 2008. 28:89–93.
2. Lahoz Zamarro MT, Laguía Pérez M, Muniesa Soriano JA, Martínez Sanz G. Base tongue actinomycosis. Acta Otorrinolaringol Esp. 2005. 56:222–225.
3. Thomas R, Kameswaran M, Ahmed S, Khurana P, Morad N. Actinomycosis of the vallecula : report of a case and review of the literature. J Laryngol Otol. 1995. 109:154–156.
Article
4. Alamillos-Granados FJ, Dean-Ferrer A, Garacia-Lopez A, López-Rubio F. Actinomycotic ulcer of the oral mucosa: an unusual presentation of oral actinomycosis. Br J Oral Maxillofac Surg. 2000. 38:121–123.
Article
5. Sakallioğlu U, Açikgöz G, Kirtiloğlu T, Karagöz F. Rare lesions of the oral cavity: case report of an actinomycotic lesion limited to the gingival. J Oral Sci. 2003. 45:39–42.
6. Verma A, Stock W, Lait M, Ferrer K, Quinn J, Platanias LC. Actinomycosis presenting as an oral ulcer in a neutropenic patient. South Med J. 2002. 95:1105.
Article
7. Weese WC, Smith IM. A study of 57 cases of actinomycosis over a 36-year period. A diagnostic 'failure' with good prognosis after treatment. Arch Intern Med. 1975. 135:1562–1568.
Article
8. Cupples HE, McGahey DT. Dual pathology: cervicofacial actinomycosis and nicorandil-induced oral ulceration. J Laryngol Otol. 2008. 122:422–424.
Article
9. Alderson G, Aufdemorte TB, Jones AC, McGuff HS. Oral and maxillofacial pathology case of the month: Actinomycosis. Tex Dent J. 92. 117:5492–93.
10. Rathnaprabhu V, Rajesh R, Sunitha M. Intraoral actinomycotic lesion: a case report. J Indian Soc Pedod Prev Dent. 2003. 21:144–146.
11. Garelick JM, Khodabakhsh AJ, Josephberg RG. Acute postoperative endophthalmitis caused by Actinomyces neuii. Am J Ophthalmol. 2002. 133:145–147.
12. Maurer P, Otto C, Eckert AW, Schubert J. Actinomycosis as a rare complication of orthognathic surgery. Int J Adult Orthodon Orthognath Surg. 2002. 17:230–233.
13. Hall V. Actinomyces-gathering evidence of human colonization and infection. Anaerobe. 2008. 14:1–7.
Article
14. Martin MV. The use of oral amoxicillin for the treatment of actinomycosis. A clinical and in vitro study. Br Dent J. 1984. 156:252–254.
Article
15. Nielsen PM, Novak A. Acute cervico-facial actinomycosis. Int J Oral Maxillofac Surg. 1987. 16:440–444.
Article
16. Sudhakar SS, Ross JJ. Short-term treatment of actinomycosis: two cases and a review. Clin Infect Dis. 2004. 38:444–447.
Article
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