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Infectious Diseases in Clinical Practice:
doi: 10.1097/IPC.0b013e318255d571
Review Articles

Actinomycosis Is an Important Diagnosis Consideration in the Presentation of a Perimandibular Mass: A Case Report and Review of Idiopathic Cervicofacial Actinomycosis

Maher, Nigel Gordon BMed, BDSc(Hons), BSc*; Lai, Katy MBBS†‡; Loewenthal, Mark MBBS, MMedSci†‡; Hoffman, Gary Russell PhD, MBBS, BDSc, MSc*‡

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Abstract

Abstract: A 33-year-old male presented with a perimandibular mass that ultimately conferred a diagnosis of actinomycosis in the absence of antecedent predisposition. He was a veterinary surgeon who had recently traveled to Southeast Asia, which complicated the diagnostic process. The literature pertaining to cervicofacial actinomycosis in the absence of antecedent predisposition is reviewed. Purulent fistulae/sinuses are common presentations and management involves prolonged antibiotic therapy.

© 2012 Lippincott Williams & Wilkins, Inc.

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