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.
From the Units of *Oral and Maxillofacial Surgery and †Immunology and Infectious Disease, John Hunter Hospital; and ‡School of Medicine and Public Health, Faculty of Health, The University of Newcastle, Newcastle, Australia.
Correspondence to: Nigel Gordon Maher, BMed, BDSc(Hons), BSc, Oral and Maxillofacial Surgery Registrar, John Hunter Hospital, Lookout Rd, New Lambton, NSW 2305, Australia. E-mail: firstname.lastname@example.org.
The authors have no funding or conflicts of interest to disclose.