A rare case of Actinomycosis of the pyriform sinus mimicking malignancy
Keywords:
Actinomycosis, Pyriform fossa, Head and neck malignancy, Differential diagnosis of malignancy
Abstract
Actinomyces is a commensal in the oral cavity, digestive tract and genital tract. However invasive Actinomycosis occurs when the host immunity is breached due to local or systemic immune compromised states. The most common presentation is a slowly growing mass with cutaneous draining sinuses. However the presentation is varied. There are cases of actinomycosis mimicking as tuberculosis and malignancy. The diagnosis is very important as the management varies drastically depending on the diagnosis. This case report highlights the unique presentation of actinomycosis in clinical and radiological diagnosis. Hence histopathological diagnosis is always mandatory in the diagnosis of actinomycosis.
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References
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2. Valour F, Sénéchal A, Dupieux C, Karsenty J, Lustig S, Breton P, Gleizal A, Boussel L, Laurent F, Braun E, Chidiac C, Ader F, Ferry T. Actinomycosis: etiology, clinical features, diagnosis, treatment, and management. Infect Drug Resist.2014Jul5;7:183-97. doi: 10.2147/IDR.S39601. eCollection 2014. [PubMed]
3. Bettesworth J, Gill K, Shah J. Primary actinomycosis of the foot: a case report and literature review. The Journal of the American College of Certified Wound Specialists. 2009 Jul 31;1(3):95-100.
4. Salmasi A, Asgari M, Khodadadi N, Rezaee A. Primary actinomycosis of the breast presenting as a breast mass. Breast Care. 2010 Apr 9;5(2):105-7.
5. Volpi L, Ferreli F, Bignami M, Pistochini A, Meloni F, Karligkiotis A, Castelnuovo P. A rarelocalization of actinomycosismimickingulcerativemalignancy. Case Rep Otolaryngol.2013;2013:323210. doi: 10.1155/2013/323210. Epub 2013Mar 4.
6. Menezes MC, Tornin OD, Botelho RA, BritoJúnior JP, Ortellado DK, Torres LR, Ferreira Júnior SC, Chagas JF, Pinto OL, Souza RP. Actinomycosis of the larynx: a case report. RadiologiaBrasileira. 2006 Aug;39(4):309-11.
7. Padmanabhan A, Thomas AV. Recurrent endobronchial actinomycosis following an interventional procedure. Lung India: official organ of Indian Chest Society. 2017 Mar;34(2):189.
8. Yeo SJ, Cho CM, Jung MK, Kim KJ, Kim MH, Cho SH, Kim GC, Seo AN. Actinomycosis Involving Chronic Pancreatitis: A Case Report with Literature Review. The Korean Journal of Gastroenterology. 2017 Mar 1;69(3):191-5.
9. Sithika TA, HemalathaGanapathy AR. A rare case of primary urachal actinomycosis mimicking malignancy. International Journal of Applied and Basic Medical Research. 2017 Jan;7(1):77.
10. Reiner SL, Harrelson JM, Miller SE, Hill GB, Gallis HA. Primaryactinomycosis of an extremity: a case report and review. Rev Infect Dis.1987 May-Jun;9(3):581-9.
11. Choi H, Lee H, Jeong SH, Um SW, Kown OJ, Kim H. Pulmonary actinomycosis mimicking lung cancer on positron emission tomography. Annals of Thoracic Medicine. 2017 Apr;12(2):121. [PubMed]
12. Ridha A, Oguejiofor N, Al-Abayechi S, Njoku E. Intra-Abdominal Actinomycosis Mimicking Malignant Abdominal Disease. Case reports in infectious diseases. 2017 Feb 19;2017.
13. Sama CB, Mbarga NF, Oben CE, Mbarga JA, Nfor EK, Angwafo Iii FF. Massivepaediatriccervicofacial actinomycosesmasquerading as an ulcerativemalignancy. BMC Infect Dis.2016Aug15;16(1):417. doi: 10.1186/s12879-016-1768-8. [PubMed]
14. Patel KB, Gupta G, Shah M, Patel P. Pulmonary actinomycosis in fine needle aspiration cytology. Journal of cytology/Indian Academy of Cytologists. 2009 Apr;26(2):94.
15. Steininger C, Willinger B. Resistancepatterns in clinicalisolates of pathogenicActinomycesspecies.J Antimicrob Chemother.2016Feb;71(2):422-7. doi: 10.1093/jac/dkv347. Epub 2015 Nov 3.
How to Cite
Dr Jamunarani Srirangaramsamy, & Dr Shakthesh Kathirvelu. (2018). A rare case of Actinomycosis of the pyriform sinus mimicking malignancy. Tropical Journal of Pathology and Microbiology, 4(1), 72-75. Retrieved from https://pathology.medresearch.in/index.php/jopm/article/view/134
Section
Case Report
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