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Actinomycosis of the thyroid gland masquerading as a neoplasm

Published online by Cambridge University Press:  29 June 2007

J. Yiotakis*
Affiliation:
Department of Otolaryngology, Faculty of Medicine, University of Athens, Greece.
P. Tzounakos
Affiliation:
Department of Otolaryngology, Faculty of Medicine, University of Athens, Greece.
L. Manolopoulos
Affiliation:
Department of Otolaryngology, Faculty of Medicine, University of Athens, Greece.
A. Tzagaroulakis
Affiliation:
Department of Otolaryngology, Faculty of Medicine, University of Athens, Greece.
G. Adamopoulos
Affiliation:
Department of Otolaryngology, Faculty of Medicine, University of Athens, Greece.
*
Address for correspondence: John Yiotakis, M.D., Ph.D., 98 Vas.Sophias Avenue, GR-115 28 Athens, Greece.

Abstract

Actinomycetal infections involving the head and neck often pose a diagnostic puzzle to the otolaryngologist. A rare case of unilateral thyroid swelling due to actinomycosis is described. Although the clinical, laboratory and imaging studies strongly suggested a thyroid neoplasm, the histological examination revealed the presence of Actinomyces sp. in the excised lesion. The manifestations of actinomycosis of the head and neck, its pathogenesis and the difficulties encountered in the diagnosis and treatment of the disease are hereby reviewed.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1997

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References

Arfeen, S., Boast, M. T., Large, D. M. (1986) Unilateral thyroid swelling due to actinomycosis. Postgraduate Medical Journal 62: 847848.Google Scholar
Dan, M., Garcia, A., von Westarp, C. (1984) Primary actinomycosis of the thyroid mimicking carcinoma. Journal of Otolaryngology 13: 109112.Google Scholar
Diaconescu, M. R., Costinescu, V., Simon, L., Cotrutz, C., Zbranca, E., Galesanu, C. (1993) Thyroid actinomycosis (actinobacteriosis). Revista Medicochirurgicala a Societatii de Medici si Naturalisti din lasi 97(2): 231233.Google Scholar
Köhler, R. (1894) Myxödem auf seltener Basis. Berliner Klinische Wochenscrift 31: 927928.Google Scholar
Kwartler, J. A., Limaye, A. (1989) Cervicofacial actinomycosis; pathologic quiz case. Archives of Otolaryngology 115: 524526.Google Scholar
Leers, W. D., Dussault, J., Mullens, J. E., Volpe, R. (1969) Suppurative thyroiditis: An unusual case caused by Actinomyces naeslundi. Canadian Medical Association Journal 10: 714718.Google Scholar
Lerner, P. I. (1988) Actinomyces and Arachnia species. In Principles and Practice of infectious Diseases. 2nd Edition. (Mandell, G. L., Douglas, R. G. Jr., Bennett, J. E., eds.), Churchill Livingstone, New York-Edinburgh-London-Melbourne, pp 14271433.Google Scholar
Pollock, P. G., Koontz, F. P., Viner, T. E., Krause, C. J., Meyers, D. J., Valincenti, J. F. (1978) Cervicofacial actinomycosis. Rapid diagnosis by thin-needle aspiration. Archives of Otolaryngology 104: 491494.Google Scholar
Rankow, M., Abraham, D. M. (1978) Actinomycosis: Masquerader in the head and neck. Annals of Otology, Rhinology and Laryngology 87: 230237.Google Scholar
Stewart, M. G., Sulek, M. (1993) Pediatric actinomycosis of the head and neck. Ear, Nose and Throat Journal 72(9): 614619.CrossRefGoogle ScholarPubMed
Zemen, V., Smejkal, V., Nahodil, V. (1980) Actinomycosis of thyroid gland in an 8 year old girl. Role of thyroglossal duct in pathogenesis. Cechoslovenska Pediatric 35: 224.Google Scholar