A case of actinomycosis causing unilateral tonsillar hypertrophy

Kenji Takasaki Division of Otorhinolaryngology, Department of Translational Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, JapanCorrespondence[email protected]

, MD,

Kyoko Kitaoka Division of Otorhinolaryngology, Department of Translational Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan

Satoru Kaieda Division of Otorhinolaryngology, Department of Translational Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan

Tomayoshi Hayashi Department of Pathology, Nagasaki University Hospital, Nagasaki, Japan

Kuniko Abe Department of Pathology, Nagasaki University Hospital, Nagasaki, Japan

Haruo Takahashi Division of Otorhinolaryngology, Department of Translational Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan

Abstract

We report a case of unusual presentation of actinomycosis in the tonsil causing massive unilateral enlargement in a 78-year-old female. To our knowledge, only three cases of actinomycosis causing unilateral tonsillar enlargement have been published previously. Since this anaerobic organism is difficult to culture, the diagnosis is made by observing its associated sulfur granules in the biopsy specimen. In the present case, treatment consisting of tonsillectomy and antibiotic therapy (penicillin) for several days produced a good prognosis.

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A case of actinomycosis causing unilateral tonsillar hypertrophy

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A case of actinomycosis causing unilateral tonsillar hypertrophy

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