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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*‡

Infectious Diseases in Clinical Practice: November 2012 - Volume 20 - Issue 6 - p 367–369
doi: 10.1097/IPC.0b013e318255d571
Review Articles

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:

The authors have no funding or conflicts of interest to disclose.

© 2012 Lippincott Williams & Wilkins, Inc.