Actinomycosis of the pharynx

Few cases of pharyngeal actinomycosis have been documented in the literature. We describe the case of a 67-year-old white man who presented with symptoms of dysphagia. Laryngoscopy revealed a pedunculated mass in the left posterior pharyngeal wall; an excisional biopsy confirmed the diagnosis. Posto...

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Bibliographic Details
Published in:Ear, nose, & throat journal nose, & throat journal, 2014-09, Vol.93 (9), p.404-408
Main Authors: Lipowska, Anna M, Johns, 3rd, Michael M
Format: Article
Language:English
Subjects:
Actinomycosis
Actinomycosis - diagnosis
Actinomycosis - pathology
Actinomycosis - surgery
Aged
Antibiotics
Biopsy
Care and treatment
Deglutition Disorders - etiology
Diagnosis
Diagnosis, Differential
Dysphagia
Family medical history
Humans
Infections
Infusions, Intravenous
Laryngoscopy
Male
Medical imaging
Medical treatment
NMR
Nuclear magnetic resonance
Organisms
Patient outcomes
Penicillins - administration & dosage
Pharyngeal Diseases - diagnosis
Pharyngeal Diseases - pathology
Pharyngeal Diseases - surgery
Pharynx - pathology
Pharynx - surgery
Postoperative Care
Recurrence
Reoperation
Surgery
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Summary:Few cases of pharyngeal actinomycosis have been documented in the literature. We describe the case of a 67-year-old white man who presented with symptoms of dysphagia. Laryngoscopy revealed a pedunculated mass in the left posterior pharyngeal wall; an excisional biopsy confirmed the diagnosis. Postoperatively, the patient underwent 10 weeks of intravenous penicillin therapy followed by 4 months of oral antibiotics, and his condition resolved. We discuss the diagnosis, management, and complications of this rare infection.
ISSN:0145-5613
1942-7522