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Case Reports
. 2014 Mar;11(2):281-3.

Pediatric cervicofacial actinomycosis disclosing an underlying congenital dermoid cyst

Santwana Verma  1 , Ghanshyam Kumar Verma  2 , Vinay Shanker  2 , Anil Kanga  1 , Gagandeep Singh  3 , Neelam Gupta  4 , Geeta Ram Tegta  2 , Jatin Sharma  2 , Aarti Garg  1
Affiliations
Case Reports

Pediatric cervicofacial actinomycosis disclosing an underlying congenital dermoid cyst

Santwana Verma et al. Dent Res J (Isfahan). 2014 Mar.

Abstract

Pediatric cervicofacial actinomycosis is a rare occurrence consequent to dental infections and manipulations or maxillofacial trauma. The clinical presentation ranges from multiple draining sinuses to swellings resembling tumors and cysts. The present unusual case had congenital dermoid cyst of mid upper lip with Actinomyces israelii infection identified on microscopy, culture, and histopathology. A successful outcome in the present case was obtained using combination of medical and surgical treatment.

Keywords: Actinomycosis; cervicofacial; dermoid cyst; pediatric.

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Conflict of interest statement

Conflict of Interest: None declared

Figures

Figure 1
Figure 1
(a) Midline swelling of upper lip with sinus openings. (b) Labial mucosa showing granular pus discharging sinus (arrow)
Figure 2
Figure 2
(a) Brain heart infusion blood agar slant showing straw colored colonies of Actinomyces israelii. (b) Photomicrograph of dermoid cyst showing keratinized stratified squamous epithelium with sebaceous glands, hair follicles, and skeletal muscle in sub-epithelial tissue (H and E, ×40)
See this image and copyright information in PMC

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