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Atypical Form of Cervicofacial Actinomycosis Involving the Skull Base and Temporal Bone.

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Title: Atypical Form of Cervicofacial Actinomycosis Involving the Skull Base and Temporal Bone.
Authors: McCann, Adam, Alvi, Sameer A., Newman, Jessica, Kakarala, Kiran, Staecker, Hinrich, Chiu, Alexander, Villwock, Jennifer A.
Source: Annals of Otology, Rhinology & Laryngology. Feb2019, Vol. 128 Issue 2, p152-156. 5p.
Subjects: Actinomycosis, Maxilla surgery, Otitis externa, Osteomyelitis, Maxilla, Debridement, Skull, Temporal bone, Disease progression, Soft tissue infections, Diagnosis, Anatomy, Disease risk factors
Abstract: Background: Cervicofacial actinomycosis is an uncommon indolent infection caused by Actinomyces spp that typically affects individuals with innate or adaptive immunodeficiencies. Soft tissues of the face and neck are most commonly involved. Actinomyces osteomyelitis is uncommon; involvement of the skull base and temporal bone is exceedingly rare. The authors present a unique case of refractory cervicofacial actinomycosis with development of skull base and temporal bone osteomyelitis in an otherwise healthy individual. Methods: Case report with literature review. Results: A 69-year-old man presented with a soft tissue infection, culture positive for Actinomyces, over the right maxilla. Previous unsuccessful treatment included local debridement and 6 weeks of intravenous ceftriaxone. He was subsequently treated with conservative debridement and a prolonged course of intravenous followed by oral antibiotic. However, he eventually required multiple procedures, including maxillectomy, pterygopalatine fossa debridement, and a radical mastoidectomy to clear his disease. Postoperatively he was gradually transitioned off intravenous antibiotics. Conclusions: Cervicofacial actinomycosis involves soft tissue surrounding the facial skeleton and oral cavity and is typically associated with a history of mucosal trauma, surgery, or immunodeficiency. The patient was appropriately treated but experienced disease progression and escalation of therapy. Although actinomycosis is typically not an aggressive bacterial infection, this case illustrates the need for prompt recognition of persistent disease and earlier surgical intervention in cases of recalcitrant cervicofacial actinomycosis. Chronic actinomycosis has the potential for significant morbidity. [ABSTRACT FROM AUTHOR]
Copyright of Annals of Otology, Rhinology & Laryngology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Atypical Form of Cervicofacial Actinomycosis Involving the Skull Base and Temporal Bone.
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  Data: <searchLink fieldCode="AR" term="%22McCann%2C+Adam%22">McCann, Adam</searchLink><br /><searchLink fieldCode="AR" term="%22Alvi%2C+Sameer+A%2E%22">Alvi, Sameer A.</searchLink><br /><searchLink fieldCode="AR" term="%22Newman%2C+Jessica%22">Newman, Jessica</searchLink><br /><searchLink fieldCode="AR" term="%22Kakarala%2C+Kiran%22">Kakarala, Kiran</searchLink><br /><searchLink fieldCode="AR" term="%22Staecker%2C+Hinrich%22">Staecker, Hinrich</searchLink><br /><searchLink fieldCode="AR" term="%22Chiu%2C+Alexander%22">Chiu, Alexander</searchLink><br /><searchLink fieldCode="AR" term="%22Villwock%2C+Jennifer+A%2E%22">Villwock, Jennifer A.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Annals+of+Otology%2C+Rhinology+%26+Laryngology%22">Annals of Otology, Rhinology & Laryngology</searchLink>. Feb2019, Vol. 128 Issue 2, p152-156. 5p.
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  Data: <searchLink fieldCode="DE" term="%22Actinomycosis%22">Actinomycosis</searchLink><br /><searchLink fieldCode="DE" term="%22Maxilla+surgery%22">Maxilla surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Otitis+externa%22">Otitis externa</searchLink><br /><searchLink fieldCode="DE" term="%22Osteomyelitis%22">Osteomyelitis</searchLink><br /><searchLink fieldCode="DE" term="%22Maxilla%22">Maxilla</searchLink><br /><searchLink fieldCode="DE" term="%22Debridement%22">Debridement</searchLink><br /><searchLink fieldCode="DE" term="%22Skull%22">Skull</searchLink><br /><searchLink fieldCode="DE" term="%22Temporal+bone%22">Temporal bone</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+progression%22">Disease progression</searchLink><br /><searchLink fieldCode="DE" term="%22Soft+tissue+infections%22">Soft tissue infections</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis%22">Diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Anatomy%22">Anatomy</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+risk+factors%22">Disease risk factors</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Cervicofacial actinomycosis is an uncommon indolent infection caused by Actinomyces spp that typically affects individuals with innate or adaptive immunodeficiencies. Soft tissues of the face and neck are most commonly involved. Actinomyces osteomyelitis is uncommon; involvement of the skull base and temporal bone is exceedingly rare. The authors present a unique case of refractory cervicofacial actinomycosis with development of skull base and temporal bone osteomyelitis in an otherwise healthy individual. Methods: Case report with literature review. Results: A 69-year-old man presented with a soft tissue infection, culture positive for Actinomyces, over the right maxilla. Previous unsuccessful treatment included local debridement and 6 weeks of intravenous ceftriaxone. He was subsequently treated with conservative debridement and a prolonged course of intravenous followed by oral antibiotic. However, he eventually required multiple procedures, including maxillectomy, pterygopalatine fossa debridement, and a radical mastoidectomy to clear his disease. Postoperatively he was gradually transitioned off intravenous antibiotics. Conclusions: Cervicofacial actinomycosis involves soft tissue surrounding the facial skeleton and oral cavity and is typically associated with a history of mucosal trauma, surgery, or immunodeficiency. The patient was appropriately treated but experienced disease progression and escalation of therapy. Although actinomycosis is typically not an aggressive bacterial infection, this case illustrates the need for prompt recognition of persistent disease and earlier surgical intervention in cases of recalcitrant cervicofacial actinomycosis. Chronic actinomycosis has the potential for significant morbidity. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Annals of Otology, Rhinology & Laryngology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=133898844
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        Value: 10.1177/0003489418808541
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      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 5
        StartPage: 152
    Subjects:
      – SubjectFull: Actinomycosis
        Type: general
      – SubjectFull: Maxilla surgery
        Type: general
      – SubjectFull: Otitis externa
        Type: general
      – SubjectFull: Osteomyelitis
        Type: general
      – SubjectFull: Maxilla
        Type: general
      – SubjectFull: Debridement
        Type: general
      – SubjectFull: Skull
        Type: general
      – SubjectFull: Temporal bone
        Type: general
      – SubjectFull: Disease progression
        Type: general
      – SubjectFull: Soft tissue infections
        Type: general
      – SubjectFull: Diagnosis
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      – SubjectFull: Anatomy
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      – SubjectFull: Disease risk factors
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      – TitleFull: Atypical Form of Cervicofacial Actinomycosis Involving the Skull Base and Temporal Bone.
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              Text: Feb2019
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              Y: 2019
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