Actinomycosis of the cheek

Abstract

This case of actinomycosis is presented as a rarity. For proper diagnosis, careful examination and a high degree of clinical suspicion are necessary.

Cervicofacial Primary Cutaneous Actinomycosis

“…[1][2][3][4][5][6][7][8] However, these statistics include secondary actinomycosis, and the prevalence of primary cutaneous actinomycosis without endogenous predisposing focus still has not been revealed. Predisposing factors for each infection site include previous oral surgery, poor dental hygiene (cervicofacial), aspiration of oral secretions, esophageal perforation (thoracic), bowel surgery, foreign body ingestion (abdomen), and intra-uterine device use (pelvis).…”

“…[1][2][3][4][5][6][7][8] Herein, we will discuss a case of pure primary cutaneous actinomycosis colonized as a mass-like lesion, which was confirmed with immunohistochemical staining and treated with proper surgical procedure. Although actinomycosis can occur in various sites including the cervicofacial area, thoracic area, abdomen, and pelvis, the occurrence and treatment of primary cutaneous actinomycosis is rarely reported.…”

Periapical Actinomycosis: A Rare Subdivision of Cervicofacial Actinomycosis, Review of the Literature, and a Case Report

“…Despite occurring rarely, actinomycosis should be included in the differential diagnosis when encountered with a soft-tissue mass with inflammatory changes with an infiltrative nature in the cervicofacial area in radiographic images. Moreover, it should be noted that CT scan and MRI are not sufficient for distinguishing actinomycosis from malignant tumoral masses [ 8 ]. Actinomycosis infection is characterized by suppurative and granulomatous lesions which primarily occur in soft tissues.…”

“…Main risk factors which leave the patient vulnerable to actinomycosis infection include mucosal breach, impaired local or systemic immune defenses, poor oral hygiene, facial trauma, prior history of head and neck radiation, or oral surgeries. However, few cases of actinomycosis infection have been described where the etiology of infection could not be accurately specified [ 1 , 5 , 8 ]. Furthermore, this infection more commonly occurs in rural areas than urban areas [ 8 ].…”

“…However, few cases of actinomycosis infection have been described where the etiology of infection could not be accurately specified [ 1 , 5 , 8 ]. Furthermore, this infection more commonly occurs in rural areas than urban areas [ 8 ].…”