Actinomycosis and tonsillar disease

Hasan, Mahboob; Kumar, Amit

doi:10.1136/bcr.01.2011.3750

Cited by 11 publications

(14 citation statements)

References 14 publications

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“…This bacterium is commonly associated with tonsillar hypertrophy, and it is believed to be a saprophyte of the normal tonsil. They became invasive when they gain access to the subcutaneous tissue, through a mucosal lesion [24]. We found no correlation between postoperative infections and the presence of Actinomyces in tonsillar tissue.…”

Section: Discussioncontrasting

confidence: 52%

Review of 1078 tonsillectomy: Retrospective cohort study

Çoban¹,

Aydın²,

İnan³

et al. 2018

Journal of Surgery and Medicine

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Aim: Tonsillectomy is one of the most frequently performed otolaryngologic surgical procedures. We represented our 5 years of experience in tonsillectomy and intended to compare our results with the current literature. We aimed to discuss our tonsillectomy outcomes, mainly giving emphasis on our post tonsillectomy infections and their possible relation with tonsillar pillar suturation, local anesthesia infiltration, comorbidities and presence of Actinomyces colonies in tonsil specimens. Methods: This study was carried out retrospectively, in 1078 patients who underwent tonsillectomy operation in between December 2011 and December 2016. The demographic data of the patients, indications for tonsillectomy, suturation if applied, local anesthesia infiltration and its timing, histopathologic findings, co-morbid diseases, postoperative complications and re-hospitalizations were recorded. The association of suturation, infiltration of local anesthesia and it's timing (pre-incisional, post-dissectional), the histopathologic presentation of Actinomyces bacteria in tonsillar specimens and the presence of accompanying systemic disorders with post-tonsillectomy infections were statistically analyzed. Results: Postoperative infection was seen in 5 (0.5%) patients. Among the suturation group, only 1 (0.5%) patient had infection (p=1). In the infection group 4 (80%) patients had post dissectional local anesthesia infiltration (p=0.574). None of the patients treated with preincisional local anesthesia infiltration, had postoperative infection (p=0.574). In 3 (0.3%) patients, Actinomyces was determined. None of these cases had post-tonsillectomy infections. 142 (13.2%) patients had various co-morbidities associated. Among them, 1 (0.7%) patient had postoperative infection (p=0.507). Conclusion: According to our results, there is no statistically significant association between suturation of tonsillar pillars, local anesthesia infiltration, comorbidities and presence of Actinomyces and post tonsillectomy infections.

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Section: Discussioncontrasting

confidence: 52%

Review of 1078 tonsillectomy: Retrospective cohort study

Çoban¹,

Aydın²,

İnan³

et al. 2018

Journal of Surgery and Medicine

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“…Their role in the development of tonsillar disease has not been firmly established. 16,17 In our study, actinomycosis was equally present in both patients with HIV (11.6%) and without HIV (10.8%). The presence of actinomycosis infection in tonsillectomy specimens is well described.…”

Section: Discussionsupporting

confidence: 52%

Tonsil histopathology in HIV-infected versus HIV-uninfected adults

Essa

Maharaj

Hari

et al. 2019

Southern African Journal of HIV Medicine

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Background The relationship between HIV and tonsil malignancy has not been fully investigated and established. Both of these diseases prominently feature in the Otorhinolaryngology clinics. Objective There is minimal data available on the histopathology of tonsillectomy specimens in the HIV-infected population. This retrospective review compared tonsil histopathology between HIV-infected and HIV-uninfected patients. Methods Of the 319 adult patients undergoing tonsillectomy (01 July 2005 to 30 June 2015), HIV results were available for 160. The histological findings were compared in the HIV-infected and HIV-uninfected subgroups. The effects of age, HIV status and CD4 count on the risk of malignancy were determined. Results There were 86 patients who were HIV-infected and 74 were uninfected. Reactive lymphoid hyperplasia was the most common diagnosis in both groups (77%). Malignancies were diagnosed in eight HIV-infected and six HIV-uninfected patients, an insignificant difference. Conclusion The majority of patients undergoing tonsillectomy had benign conditions. HIV status does not appear to be a specific risk factor for tonsil malignancies, but advanced age may be.

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“…Actinomycosis is commonly reported in the craniofacial, pulmonary, and ileocecal areas. It is also reported in the liver, breast, parotid, and spleen [ 10 ]. Tonsillar actinomycosis has been reported in a variable percent in the literature [ 11 - 12 ].…”

Section: Discussionmentioning

confidence: 99%

Microbiological Profile of Chronic Tonsillitis in the Pediatric Age Group

Raja¹,

Subramanian

Vijayakumar

et al. 2018

Cureus

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IntroductionTonsillitis is a very common disease in children. Understanding the microbiology and pathology of chronic tonsillitis is an important step in its management. The aim of the study was to describe the microbiological profile of core tonsillar tissue in chronic tonsillitis in children.Materials and methodsChildren under 16 years of age with chronic tonsillitis were recruited in the descriptive study. Children with recurrent tonsillitis and recurrent tonsillitis with obstructive symptoms were included. Children who underwent tonsillectomy for obstructive symptoms alone and those who received antibiotics for at least one month prior to surgery were excluded from the study. Dissection and the snare method of tonsillectomy were done on all children. The operated specimen was cut into two halves in a sterile container. The core of the tonsillar tissue was swabbed with two sterile cotton-tipped swabs and sent for the microbiological evaluation of aerobes and anaerobes. The tonsillar tissue was sent for a histopathological examination.ResultsA total of 106 children were operated for chronic tonsillitis in one year. The mean age of children included in this study was 9.4 years. The duration of symptoms due to tonsillar disease ranged from four weeks to 28 months. There were 48 males and 58 females. Recurrent tonsillitis was the most common indication for tonsillectomy in all children. A total of 301 aerobes and 171 anaerobic microorganisms were isolated from 106 children with chronic tonsillitis. The aerobic bacterial species most often isolated was Streptococcus viridans, which was present in 83 children followed by Group A, β-hemolytic Streptococci in 67 children. The anaerobic bacterial most often isolated was Peptococcus species in 49 children. Polymicrobial aerobic and anaerobic flora were present in all tonsillar specimens, yielding an average of 4.1 isolates per specimen. The histopathological examination revealed chronic tonsillitis with reactive follicular hyperplasia in all (100%) children. Actinomycosis was associated with non-specific reactive follicular hyperplasia in four specimens.ConclusionPolymicrobial aerobic and anaerobic flora are identified in deep tonsillar tissue in children with tonsillitis. The identification of bacterial isolates from the core tissue in recurrent tonsillitis could dictate the management of chronic tonsillitis. The histopathological examination of the core tissues of the tonsils helps in an accurate identification of organisms that are difficult to culture.

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Actinomycosis and tonsillar disease

Cited by 11 publications

References 14 publications

Review of 1078 tonsillectomy: Retrospective cohort study

Review of 1078 tonsillectomy: Retrospective cohort study

Tonsil histopathology in HIV-infected versus HIV-uninfected adults

Microbiological Profile of Chronic Tonsillitis in the Pediatric Age Group

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