Vallés Fontanet J, Oliva Izquierdo T
Sección de ORL, Hospital General de Manresa.
Acta Otorrinolaringol Esp. 1995 Nov-Dec;46(6):444-6.
A case of actinomycosis of the tonsils with a neoplasm-like clinical presentation is presented. Tonsillectomy confirmed the diagnosis and the patient's evolution was favorable after postoperative antibiotic therapy. The scant literature on cervicofacial actinomycosis is reviewed. These processes often are confused with neoplasms, as in our case, or with mandibular osteomyelitis. Treatment is surgery and prolonged antibiotic administration. Actinomycosis should be considered in the differential diagnosis of cervicofacial masses, particularly when the biopsy is negative for carcinoma.
本文报告一例具有肿瘤样临床表现的扁桃体放线菌病病例。扁桃体切除术确诊了该疾病，术后抗生素治疗后患者病情好转。本文回顾了关于颈面部放线菌病的少量文献。这些病变常与肿瘤混淆，如我们的病例，或与下颌骨骨髓炎混淆。治疗方法为手术及长期使用抗生素。在颈面部肿块的鉴别诊断中应考虑放线菌病，尤其是活检结果为癌阴性时。
