Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
증례

소아 구개편도에서 발생한 방선균증 1예

이동희1,*, 심민보1, 이창훈1, 조광재1
Dong-Hee Lee1,*, Min-Bo Shim1, Chang-Hoon Lee1, Kwang-Jae Cho1
1가톨릭대학교 의과대학 이비인후과학교실
1Department of Otolaryngology-HNS, The Catholic University of Korea, College of Medicine, Uijeongbu, Korea
*교신저자: 이동희, 480-130 경기도 의정부시 금오동 65-1 가톨릭대학교 의과대학 이비인후과학교실 전화: (031) 820-3564·전송: (031) 847-0038 E-mail: leedh0814@catholic.ac.kr

© Copyright 2006 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Jan 19, 2006; Accepted: May 16, 2006

Published Online: May 31, 2020

ABSTRACT

Actinomycosis is a rare subacute-to-chronic bacterial infection caused by filamentous, gram-positive, anaerobicto-microaerophilic bacteria that are not acid fast. These bacteria grow slowly in anaerobic-to-microaerophilic conditions, forming colonies with a characteristic molar tooth appearance. The most common isolated species are Actinomyces israeli. Actinomycosis is characterized by contiguous spread, suppurative and granulomatous inflammatory reaction, and formation of multiple abscesses and sinus tracts that discharge sulfur granules. Cervicofacial actinomycosis is the most common manifestation, comprising 50-70% of reported cases. Infection typically occurs following oral surgery or in patients with poor dental hygiene. The sulfur granules are practically pathognomonic for this infection. We experienced a case of actinomycosis of the palatine tonsil, which was confirmed after the tonsillectomy. Thus, we report this case with a review of the literature. (J Clinical Otolaryngol 2006;17:120-123)

Keywords: 방선균증; 구개편도; 소아
Keywords: Actinomycosis; Palatine tonsil; Child