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Actinomycosis of the middle ear

Lookup NU author(s): Dr Peter Kullar, Philip Yates

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Abstract

Objective: To present the first case of middle-ear actinomycosis in the UK in the last 60 years. The diagnosis and management of actinomycosis of the middle ear is also presented, as well as a review of the recent literature.Case report: This paper reports the case of a nine-year-old girl who presented with recurrent otorrhoea caused by actinomycosis. Mastoid exploration with clearance of the infected tissue, in conjunction with six months amoxicillin, resulted in long-term disease remission. Histology revealed Gram-positive, silver avid (on Grocott staining) and diastase-resistant periodic acid-Schiff negative staining of colonies; this profile was in keeping with the characteristic 'sulphur granules' of actinomycosis.Conclusion: Actinomycosis of the middle ear and mastoid is rare, with less than 45 cases presented in the worldwide literature. This case confirms that the disease should be treated with full surgical clearance and long-term antibiotics.

Publication metadata

Author(s): Kullar PJ, Yates P

Publication type: Article

Publication status: Published

Journal: Journal of Laryngology & Otology

Year: 2013

Volume: 127

Issue: 7

Pages: 712-715

Print publication date: 01/07/2013

Online publication date: 13/06/2013

Acceptance date: 27/09/2012

ISSN (print): 0022-2151

ISSN (electronic): 1748-5460

Publisher: Cambridge University Press

URL: http://dx.doi.org/10.1017/S0022215113001230

DOI: 10.1017/S0022215113001230

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