Journal of the Korean Society of Magnetic Resonance in Medicine  2014;18(1):70-74

doi:10.13104/jksmrm.2014.18.1.70

Cervicofacial Actinomycosis with Orbit Involvement.

Tae Young LEE 1 ; Eun Joo LEE ; Hyuk Won CHANG ; Hye Ra JUNG ; Eal Maan KIM ; Hyung LEE ; Sang Pyo KIM ; Sang Kwon LEE

Affiliations

+expand

Keywords

Actinomycosis; Orbital; Cervicofacial; Cellulitis

Country

Republic of Korea

Language

Korean

Abstract

Actinomycosis is caused by filamentous Gram positive anaerobic bacteria from the Actinomycetaceae family, and known as a rare cause of the infection at the eyeball. We report magnetic resonance findings of a 60-year-old Korean man with cervicofacial actinomycosis, including cellulitis in the eye and central nervous system actinomycosis. On orbital magnetic resonance imaging, gadolinium-enhanced T1-weight images showed multiple abnormal enhancing lesions in head and neck including right eye, and some include low signal intensities which considered as abscesses. The lesions was diagnosed as actinomycosis by incisional biopsy, and since then was cured by using antibiotics of penicillin family.