Chronic Actinomycosis of the Cervical Lymph Node Simulating a Thyroid Neoplasm.
- Author:
Young Jin SUH
1
;
Hun JUNG
;
Hyung Min CHIN
;
Hyeon Min CHO
;
Yong Sung WON
;
Jun Gi KIM
;
Woo Bae PARK
;
Chung Soo CHUN
Author Information
1. Department of Surgery, St. Vincent's Hospital, The Catholic University of Korea, Suwon, Korea.
- Publication Type:Case Report
- Keywords:
Actinomycosis;
Cervicofacial;
Lymph node
- MeSH:
Actinomycosis*;
Actinomycosis, Cervicofacial;
Biopsy, Fine-Needle;
Diagnosis;
Head;
Humans;
Lymph Nodes*;
Neck;
Rare Diseases;
Sulfur;
Thyroid Gland*;
Thyroid Neoplasms*;
Thyroiditis, Subacute
- From:Journal of the Korean Surgical Society
2002;62(5):442-445
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Actinomycosis in humans is currently a rare disease. Here we report a case of cervicofacial actinomycosis in a 24-year- old man. The patient presented with a painful cervical mass, without symptoms of infection. Clinical features and results of laboratory and imaging studies of the patient suggested a thyroid neoplasm or subacute thyroiditis. Fine needle aspiration cytology failed to yield a definite diagnosis. The pathologic report after a curative operation confirmed the presence of the characteristic sulfur granules in the lymph node just above the left lobe of the thyroid gland. Here we describe this rare case with a review of the typical clinical presentations of actinomycosis on the head and neck, its pathogenesis on the difficulties encountered in the diagnosis and treatment of the disease.
