Cervicofacial Actinomycosis

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Abstract
Actinomyces Israelii is a gram-positive micro organism with worldwide distribution. Cervicofacial actinomycosis results when this organism infects the head and neck area. A history of orofacial trauma, dental manipulations, or infections is often elicited from these patients. A firm, indurated mass, on or near the mandible with associated abscess formation or draining sinus tract, is a typical physical finding in this disease. Sulfur granules, when present, are diagnostic. More commonly, the diagnosis is made via culture or biopsy. Biopsies from the abscess wall or sinus tract, when positive, eliminate the two-to-three-week culture period. Treatment can be initiated within 48 to 72 hours in these cases. Three cases of cervicofacial actinomycosis are reviewed. The advantages of biopsy as a diagnostic technique are emphasized.

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