Bony cystic lesion with associated submandibular lymphadenopathy on a background of breast carcinoma: an unexpected case of cervicofacial actinomycosis.

Sibanda, Lwazi, Wates, Emma and Higginson, James (2020) Bony cystic lesion with associated submandibular lymphadenopathy on a background of breast carcinoma: an unexpected case of cervicofacial actinomycosis. BMJ case reports, 13 (4). ISSN 1757-790X. Available through UHB Open Athens

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Official URL: https://casereports.bmj.com/content/13/4/e232850.l...

Abstract

Actinomycosis is an uncommon, chronic suppurative granulomatous infection and needs to be considered as a differential diagnosis. A 56-year-old woman with a background of type 2 diabetes mellitus and breast carcinoma was referred to the Oral and Maxillofacial Surgery 2-week wait clinic, regarding a tender sublingual mass and firm erythematous swelling in the right submandibular and submental region. This was slowly progressive and had not responded to oral co-amoxiclav. An orthopantomogram showed a well-defined radiolucency and smaller radiolucent lesions throughout the edentulous right body of the mandible. A contrast-enhanced CT confirmed a right submandibular abscess communicating with cavitating lesions. The differentials included osteomyelitis, bony metastases, multiple myeloma or other cystic lesions. The patient underwent incision and drainage of the abscess, alongside biopsies, and intravenous co-amoxiclav was given. Microbiology cultures confirmed the presence of and a diagnosis of cervicofacial actinomycosis with mandibular osteomyelitis. The patient was successfully treated with prolonged antibiotics.

Item Type: Article
Additional Information: Available through UHB Open Athens
Subjects: WU Dentistry. Oral surgery
Divisions: Clinical Support > Infection Control
Planned IP Care > General Surgery
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Depositing User: Beth Connors
Date Deposited: 18 Jan 2021 15:37
Last Modified: 18 Jan 2021 15:37
URI: http://www.repository.uhblibrary.co.uk/id/eprint/3856

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