Arik Deniz
Department of Pathology, Karaman State Hospital, Karaman, Turkey.
Turk Patoloji Derg. 2013;29(1):80-2. doi: 10.5146/tjpath.2013.01155.
In this paper an unusual case of lymphadenopathy associated with Actinomyces infection is reported. In the literature, there are only two cases presented with histopathologic features. A forty-year-old male patient was admitted to the hospital with painless mass on the neck. Clinical examination revealed a firm mass on the right submandibular region. The patient had no malignancy history. A cystic mass radiologically compatible with abscess was detected adjacent to the submandibular gland. Sialadenitis and lymphadenitis were considered but the mass was refractory to the antibiotherapy. The mass and the right submandibular gland were excised. Histopathologic evaluation of the lymph node revealed characteristic sulfur granules of Actinomyces.
本文报道了1例与放线菌感染相关的罕见淋巴结病病例。在文献中，仅有2例呈现出组织病理学特征。一名40岁男性患者因颈部无痛性肿块入院。临床检查发现右下颌下区有一质地坚硬的肿块。该患者无恶性肿瘤病史。在颌下腺附近检测到一个在放射学上与脓肿相符的囊性肿块。考虑为涎腺炎和淋巴结炎，但该肿块对抗生素治疗无效。遂将肿块及右下颌下腺切除。对淋巴结进行组织病理学评估，发现了放线菌特有的硫磺颗粒。
