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VOLUME 11 , ISSUE 3 ( September-December, 2019 ) > List of Articles

CASE REPORT

Actinomycosis Hard Palate: A Rare Presentation

Vijeyta Dahiya, Binu Raju George, Kizhakkethil Ramachandran, Shamej Peter

Keywords : Hard palate, Oroantral fistula,Actinomycosis

Citation Information : Dahiya V, George BR, Ramachandran K, Peter S. Actinomycosis Hard Palate: A Rare Presentation. Int J Otorhinolaryngol Clin 2019; 11 (3):73-75.

DOI: 10.5005/jp-journals-10003-1334

License: CC BY-NC 4.0

Published Online: 02-03-2021

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Actinomycosis is a gradually evolving infection caused by bacteria of genus Actinomyces. Cervicofacial involvement is the most common presentation and palatal involvement is very rare. Presented below is the case report of a 79-year-old diabetic and hypertensive female who presented with nonhealing ulcer over the hard palate for 10 months, which enlarged and formed a large oroantral fistula within 4 months. Following the diagnosis of actinomycosis by histology, complete debridement and removal of necrotic tissue was done. She was treated with intravenous crystalline penicillin 6th hourly for 4 weeks and was discharged on oral amoxicillin for 12 months with regular follow-up. Only four cases of actinomycosis hard palate have been reported in English literature so far.


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